{ "reporting_entity_name":"Virginia Health Network", "reporting_entity_type":"PPO Repricing", "plan_name":"VIRGINIA HEALTH NETWORK", "plan_id_type":"", "plan_id":"", "plan_market_type":"group", "last_updated_on":"2024-02-09", "version":"1.0.0", "in_network":[ { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0001F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917328-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0001U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917329-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COVID-19 PFIZER VACCINE-DOSE2", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0002A", "description":"COVID-19 PFIZER VACCINE-DOSE2", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917330-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0002M", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917331-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0002U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917332-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0003A", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917333-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0003M", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917334-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0003U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917335-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0004M", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917336-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0005F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917337-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0005U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917338-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0006M", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917339-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0006U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917340-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0007M", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917341-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0007U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917342-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0008U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917343-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0009U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917344-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0010U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917345-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COVID-19 MODERNA VACCINE-DOSE1", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0011A", "description":"COVID-19 MODERNA VACCINE-DOSE1", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917346-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0011M", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917347-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0011U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917348-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COVID-19 MODERNA VACCINE-DOSE2", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0012A", "description":"COVID-19 MODERNA VACCINE-DOSE2", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917349-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0012F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917350-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0012M", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917351-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0012U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917352-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0013A", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917353-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0013M", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917354-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0013U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917355-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0014F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917356-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0014M", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917357-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0014U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917358-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0015F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917359-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0015M", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917360-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0016M", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917361-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0016U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917362-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0017M", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917363-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0017U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917364-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0018M", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917365-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0018U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917366-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0019U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917367-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0021U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917368-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0022U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917369-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0023U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917370-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0024U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917371-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0025U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917372-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0026U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917373-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0027U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917374-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0029U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917375-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0030U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917376-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COVID-19 JANSSEN VACCINE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0031A", "description":"COVID-19 JANSSEN VACCINE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917377-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0031U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917378-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0032U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917379-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0033U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917380-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0034U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917381-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0035U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917382-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0036U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917383-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0037U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917384-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0038U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917385-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0039U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917386-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0040U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917387-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0041U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917388-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0042T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917389-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0042U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917390-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0043U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917391-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0044U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917392-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0045U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917393-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0046U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917394-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0047U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917395-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0048U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917396-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0049U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917397-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0050U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917398-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0051U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917399-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0052U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917400-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0053U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917401-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0054T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917402-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0054U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917403-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0055T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917404-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0055U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917405-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0056U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917406-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0058U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917407-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0059U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917408-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0060U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917409-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0061U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917410-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0062U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917411-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0063U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917412-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0064U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917413-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0065U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917414-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0066U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917415-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0067U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917416-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0068U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917417-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0069U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917418-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0070U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917419-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0071A", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917420-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0071T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917421-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0071U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917422-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0072A", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917423-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0072T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917424-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0072U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917425-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0073U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917426-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0074U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917427-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0075T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917428-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0075T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73917429-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0075T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73917430-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0075U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917431-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0076T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917432-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0076T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73917433-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0076T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73917434-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0076U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917435-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0077U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917436-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0078U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917437-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0080U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917438-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0082U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917439-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0083U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917440-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0084U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917441-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0086U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917442-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0087U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917443-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0088U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917444-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0089U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917445-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0090U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917446-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0092U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917447-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0093U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917448-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0094U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917449-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0095T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917450-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0095U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917451-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0096U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917452-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0097U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917453-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0098T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917454-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0098U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917455-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0099U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917456-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0100T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917457-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0100U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917458-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0101T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917459-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0101U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917460-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0102T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917461-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0102U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917462-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0103U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917463-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0105U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917464-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0106T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917465-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0106U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917466-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0107T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917467-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0107U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917468-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0108T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917469-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0108U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917470-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0109T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917471-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0109U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917472-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0110T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917473-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0110U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917474-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0111U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917475-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0112U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917476-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0113U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917477-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0114U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917478-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0115U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917479-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0116U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917480-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0117U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917481-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0118U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917482-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0119U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917483-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0120U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917484-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0121U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917485-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0122U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917486-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0123U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917487-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0124U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917488-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0125U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917489-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0126U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917490-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0127U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917491-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0128U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917492-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0129U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917493-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0130U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917494-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0131U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917495-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0132U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917496-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0133U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917497-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0134U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917498-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0135U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917499-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0136U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917500-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0137U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917501-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0138U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917502-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0139U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917503-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0140U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917504-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0141U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917505-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0142U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917506-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0143U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917507-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0144U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917508-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0145U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917509-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0146U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917510-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0147U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917511-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0148U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917512-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0149U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917513-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0150U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917514-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0151U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917515-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0152U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917516-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0153U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917517-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0154U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917518-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0155U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917519-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0156U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917520-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0157U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917521-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0158U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917522-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0159U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917523-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0160U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917524-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0161U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917525-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0162U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917526-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0163T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917527-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0163U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917528-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0164T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917529-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0164U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917530-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0165T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917531-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0165U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917532-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0166U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917533-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0167U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917534-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0168U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917535-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0169U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917536-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0170U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917537-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0171U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917538-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0172U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917539-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0173U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917540-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0174T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917541-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0174U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917542-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0175T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917543-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0175U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917544-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0176U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917545-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0177U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917546-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0178U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917547-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0179U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917548-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0180U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917549-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0181U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917550-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0182U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917551-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0183U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917552-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0184T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917553-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0184U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917554-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0185U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917555-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0186U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917556-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0187U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917557-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0188U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917558-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0189U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917559-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0190U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917560-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0191U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917561-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0192U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917562-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0193U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917563-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0194U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917564-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0195U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917565-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0196U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917566-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0197U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917567-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0198T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917568-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0198U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917569-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0199U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917570-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0200T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917571-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0200U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917572-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0201T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917573-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0201U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917574-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0202T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917575-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0202U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917576-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0203U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917577-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0204U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917578-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0205U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917579-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0206U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917580-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0207T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917581-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0207U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917582-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0208T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917583-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0209T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917584-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0209U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917585-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0210T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917586-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0210U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917587-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0211T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917588-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0211U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917589-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0212T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917590-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0212U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917591-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0213T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917592-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0213U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917593-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0214T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917594-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0214U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917595-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0215T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917596-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0215U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917597-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0216T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917598-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0216U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917599-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0217T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917600-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0217U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917601-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0218T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917602-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0218U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917603-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0219T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917604-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0219U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917605-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0220T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917606-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0220U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917607-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0221T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917608-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0221U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917609-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0222T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917610-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0222U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917611-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0223U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917612-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0224U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917613-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0225U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917614-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0226U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917615-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0227U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917616-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0228U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917617-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0229U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917618-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0230U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917619-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0231U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917620-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0232T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917621-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0232U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917622-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0233U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917623-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0234T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917624-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0234U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917625-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0235T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917626-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0235U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917627-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0236T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917628-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0236U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917629-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0237T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917630-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0237U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917631-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0238T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917632-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0238U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917633-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0239U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917634-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0240U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917635-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0240U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"QW", "additional_information":"PHCS-AOSDOC-73917636-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0241U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917637-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0241U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"QW", "additional_information":"PHCS-AOSDOC-73917638-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0242U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917639-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0243U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917640-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0244U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917641-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0245U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917642-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0246U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917643-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0247U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917644-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0248U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917645-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0249U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917646-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0250U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917647-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0251U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917648-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0252U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917649-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0253T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917650-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0253U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917651-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0254U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917652-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0255U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917653-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0256U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917654-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0257U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917655-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0258U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917656-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0259U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917657-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0260U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917658-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0261U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917659-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0262U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917660-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0263T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917661-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0263U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917662-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0264T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917663-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0264U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917664-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0265T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917665-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0265U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917666-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0266T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917667-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0266U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917668-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0267T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917669-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0267U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917670-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0268T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917671-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0268U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917672-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0269T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917673-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0269U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917674-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0270T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917675-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0270U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917676-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0271T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917677-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0271U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917678-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0272T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917679-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0272U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917680-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0273T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917681-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0273U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917682-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0274T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917683-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0274U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917684-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0275T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917685-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0275U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917686-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0276U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917687-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0277U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917688-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0278T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917689-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0278U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917690-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0279U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917691-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0280U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917692-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0281U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917693-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0282U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917694-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0283U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917695-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0284U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917696-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0285U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917697-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0286U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917698-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0287U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917699-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0288U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917700-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0289U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917701-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0290U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917702-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0291U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917703-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0292U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917704-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0293U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917705-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0294U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917706-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0295U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917707-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0296U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917708-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0297U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917709-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0298U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917710-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0299U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917711-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0300U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917712-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0301U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917713-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0302U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917714-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0303U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917715-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0304U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917716-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0305U", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917717-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0308T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917718-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0312T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917719-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0313T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917720-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0314T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917721-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0315T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917722-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0316T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917723-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0317T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917724-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0329T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917725-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0330T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917726-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0331T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917727-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0332T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917728-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0333T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917729-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0335T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917730-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0338T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917731-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0339T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917732-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0342T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917733-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0345T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917734-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0347T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917735-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0348T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917736-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0349T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917737-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0350T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917738-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0351T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917739-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0352T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917740-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0353T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917741-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0354T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917742-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0358T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917743-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0362T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917744-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0373T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917745-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0378T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917746-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0379T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917747-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0394T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917748-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0395T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917749-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0397T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917750-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0398T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917751-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0402T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917752-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0403T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917753-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0404T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917754-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0408T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917755-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0409T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917756-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0410T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917757-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0411T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917758-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0412T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917759-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0413T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917760-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0414T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917761-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0415T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917762-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0416T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917763-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0417T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917764-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0418T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917765-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0419T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917766-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0420T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917767-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0421T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917768-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0422T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917769-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0424T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917770-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0425T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917771-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0426T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917772-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0427T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917773-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0428T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917774-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0429T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917775-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0430T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917776-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0431T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917777-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0432T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917778-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0433T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917779-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0434T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917780-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0435T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917781-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0436T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917782-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0437T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917783-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0439T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917784-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0440T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917785-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0441T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917786-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0442T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917787-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0443T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917788-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0444T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917789-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0445T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917790-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0446T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917791-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0447T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917792-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0448T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917793-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0449T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917794-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0450T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917795-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VISUAL EP TEST FOR GLAUCOMA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0464T", "description":"VISUAL EP TEST FOR GLAUCOMA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917796-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUPCHRDL NJX RX W/O SUPPLY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0465T", "description":"SUPCHRDL NJX RX W/O SUPPLY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917797-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RTA POLARIZE SCAN OC SCR BI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0469T", "description":"RTA POLARIZE SCAN OC SCR BI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917798-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OCT SKN IMG ACQUISJ I&R 1ST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0470T", "description":"OCT SKN IMG ACQUISJ I&R 1ST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917799-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OCT SKN IMG ACQUISJ I&R 1ST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0470T", "description":"OCT SKN IMG ACQUISJ I&R 1ST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73917800-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OCT SKN IMG ACQUISJ I&R 1ST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0470T", "description":"OCT SKN IMG ACQUISJ I&R 1ST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73917801-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OCT SKN IMG ACQUISJ I&R ADD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0471T", "description":"OCT SKN IMG ACQUISJ I&R ADD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917802-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OCT SKN IMG ACQUISJ I&R ADD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0471T", "description":"OCT SKN IMG ACQUISJ I&R ADD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73917803-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OCT SKN IMG ACQUISJ I&R ADD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0471T", "description":"OCT SKN IMG ACQUISJ I&R ADD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73917804-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PRGRMG IO RTA ELTRD RA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0472T", "description":"PRGRMG IO RTA ELTRD RA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917805-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPRGRMG IO RTA ELTRD RA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0473T", "description":"REPRGRMG IO RTA ELTRD RA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917806-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSJ AQUEOUS DRG DEV IO RSV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0474T", "description":"INSJ AQUEOUS DRG DEV IO RSV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917807-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REC FTL CAR SGL 3 CH I&R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0475T", "description":"REC FTL CAR SGL 3 CH I&R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917808-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REC FTL CAR SGL ELEC TR DAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0476T", "description":"REC FTL CAR SGL ELEC TR DAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917809-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REC FTL CAR SGL XRTJ ALYS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0477T", "description":"REC FTL CAR SGL XRTJ ALYS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917810-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REC FTL CAR 3 CH REV I&R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0478T", "description":"REC FTL CAR 3 CH REV I&R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917811-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FXJL ABL LSR 1ST 100 SQ CM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0479T", "description":"FXJL ABL LSR 1ST 100 SQ CM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917812-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FXJL ABL LSR EA ADDL 100SQC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0480T", "description":"FXJL ABL LSR EA ADDL 100SQC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917813-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NJX AUTOL WBC CONCENTRATE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0481T", "description":"NJX AUTOL WBC CONCENTRATE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917814-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TMVI PERCUTANEOUS APPROACH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0483T", "description":"TMVI PERCUTANEOUS APPROACH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917815-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TMVI TRANSTHORACIC EXPOSURE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0484T", "description":"TMVI TRANSTHORACIC EXPOSURE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917816-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OCT MID EAR I&R UNILATERAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0485T", "description":"OCT MID EAR I&R UNILATERAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917817-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OCT MID EAR I&R UNILATERAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0485T", "description":"OCT MID EAR I&R UNILATERAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73917818-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OCT MID EAR I&R UNILATERAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0485T", "description":"OCT MID EAR I&R UNILATERAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73917819-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OCT MID EAR I&R BILATERAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0486T", "description":"OCT MID EAR I&R BILATERAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917820-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OCT MID EAR I&R BILATERAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0486T", "description":"OCT MID EAR I&R BILATERAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73917821-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OCT MID EAR I&R BILATERAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0486T", "description":"OCT MID EAR I&R BILATERAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73917822-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRVG BIOMCHN MAPG W/REPRT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0487T", "description":"TRVG BIOMCHN MAPG W/REPRT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917823-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIABETES PREV ONLINE/ELEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0488T", "description":"DIABETES PREV ONLINE/ELEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917824-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REGN CELL TX SCLDR HANDS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0489T", "description":"REGN CELL TX SCLDR HANDS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917825-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REGN CELL TX SCLDR H MLT IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0490T", "description":"REGN CELL TX SCLDR H MLT IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917826-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ABL LSR OPN WND 1ST 20 SQCM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0491T", "description":"ABL LSR OPN WND 1ST 20 SQCM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917827-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ABL LSR OPN WND ADDL 20 SQC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0492T", "description":"ABL LSR OPN WND ADDL 20 SQC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917828-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEAR IFR SPECTRSC OF WOUNDS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0493T", "description":"NEAR IFR SPECTRSC OF WOUNDS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917829-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PREP & CANNULJ CDVR DON LUN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0494T", "description":"PREP & CANNULJ CDVR DON LUN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917830-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MNTR CDVR DON LNG 1ST 2 HRS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0495T", "description":"MNTR CDVR DON LNG 1ST 2 HRS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917831-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MNTR CDVR DON LNG EA ADDL H", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0496T", "description":"MNTR CDVR DON LNG EA ADDL H", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917832-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"XTRNL PT ACT ECG IN-OFF CON", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0497T", "description":"XTRNL PT ACT ECG IN-OFF CON", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917833-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"XTRNL PT ACT ECG R&I PR 30", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0498T", "description":"XTRNL PT ACT ECG R&I PR 30", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917834-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTO F/URTL STRIX/STENOSIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0499T", "description":"CYSTO F/URTL STRIX/STENOSIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917835-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0500F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917836-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HPV 5+ HI RISK HPV TYPES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0500T", "description":"HPV 5+ HI RISK HPV TYPES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917837-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0501F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917838-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COR FFR DERIVED COR CTA DAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0501T", "description":"COR FFR DERIVED COR CTA DAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917839-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0502F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917840-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COR FFR DATA PREP & TRANSMI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0502T", "description":"COR FFR DATA PREP & TRANSMI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917841-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0503F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917842-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COR FFR ALYS GNRJ FFR MDL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0503T", "description":"COR FFR ALYS GNRJ FFR MDL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917843-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COR FFR DATA REVIEW I&R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0504T", "description":"COR FFR DATA REVIEW I&R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917844-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0505F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917845-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0505T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917846-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0506T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917847-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0506T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73917848-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0506T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73917849-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0507F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917850-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0507T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917851-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0507T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73917852-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0507T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73917853-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0508T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917854-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0508T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73917855-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0508T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73917856-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0509F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917857-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0509T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917858-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0509T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73917859-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0509T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73917860-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0510T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917861-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0511T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917862-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0512T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917863-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0513F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917864-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0513T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917865-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0514F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917866-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0514T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917867-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0515T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917868-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0516F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917869-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0516T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917870-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0517F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917871-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0517T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917872-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0518F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917873-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0518T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917874-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0519F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917875-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0519T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917876-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0520F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917877-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0520T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917878-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0521F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917879-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0521T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917880-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0521T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73917881-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0521T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73917882-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0522T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917883-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0522T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73917884-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0522T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73917885-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0523T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917886-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0524T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917887-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0525F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917888-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0525T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917889-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0526F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917890-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0526T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917891-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0527T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917892-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0528F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917893-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0528T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917894-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0528T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73917895-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0528T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73917896-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0529F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917897-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0529T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917898-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0529T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73917899-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0529T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73917900-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0530T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917901-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0531T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917902-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0532T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917903-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0533T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917904-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0533T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73917905-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0533T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73917906-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0534T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917907-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0534T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73917908-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0534T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73917909-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0535F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917910-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0535T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917911-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0535T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73917912-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0535T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73917913-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0536T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917914-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0536T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73917915-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0536T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73917916-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0537T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917917-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0538T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917918-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0539T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917919-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0540F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917920-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0540T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917921-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0541T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917922-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0542T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917923-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0543T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917924-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0544T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917925-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0545F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917926-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0545T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917927-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0546T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917928-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0547T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917929-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0550F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917930-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0551F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917931-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0552T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917932-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0553T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917933-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0554T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917934-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0555F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917935-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0555T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917936-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0556F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917937-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0556T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917938-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0557F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917939-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0557T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917940-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0558T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917941-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0559T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917942-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0560T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917943-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0561T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917944-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0562T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917945-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0563T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917946-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0564T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917947-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0565T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917948-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0566T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917949-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0567T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917950-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0568T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917951-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0569T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917952-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0570T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917953-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0571T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917954-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0572T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917955-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0573T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917956-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0574T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917957-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0575F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917958-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0575T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917959-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0576T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917960-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0577T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917961-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0578T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917962-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0579T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917963-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0580F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917964-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0580T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917965-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0581F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917966-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0581T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917967-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0582F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917968-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0582T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917969-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0583F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917970-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0583T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917971-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0584F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917972-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0584T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917973-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0585T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917974-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0586T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917975-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0587T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917976-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0588T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917977-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0589T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917978-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0590T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917979-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0591T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917980-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0592T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917981-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0593T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917982-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0594T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917983-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0596T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917984-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0597T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917985-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0598T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917986-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0599T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917987-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0600T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917988-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0601T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917989-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0602T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917990-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0603T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917991-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0604T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917992-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0605T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917993-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0606T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917994-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0607T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917995-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0608T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917996-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0609T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917997-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0610T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917998-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0611T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73917999-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0612T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918000-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0613T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918001-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0614T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918002-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0615T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918003-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0616T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918004-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0617T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918005-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0618T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918006-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0619T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918007-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0620T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918008-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0621T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918009-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0622T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918010-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0623T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918011-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0624T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918012-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0625T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918013-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0626T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918014-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0627T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918015-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0628T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918016-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0629T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918017-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0630T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918018-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0631T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918019-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0632T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918020-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0633T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918021-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0633T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918022-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0633T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918023-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0634T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918024-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0634T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918025-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0634T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918026-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0635T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918027-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0635T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918028-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0635T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918029-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0636T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918030-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0636T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918031-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0636T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918032-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0637T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918033-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0637T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918034-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0637T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918035-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0638T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918036-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0638T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918037-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0638T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918038-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0639T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918039-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0640T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918040-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0641T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918041-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0642T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918042-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0643T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918043-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0644T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918044-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0645T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918045-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0646T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918046-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0647T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918047-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0648T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918048-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0648T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918049-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0648T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918050-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0649T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918051-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0649T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918052-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0649T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918053-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0650T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918054-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0650T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918055-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0650T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918056-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0651T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918057-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0652T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918058-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0653T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918059-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0654T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918060-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0655T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918061-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0656T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918062-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0657T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918063-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0658T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918064-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0659T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918065-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0660T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918066-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0661T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918067-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0662T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918068-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0663T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918069-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0664T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918070-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0665T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918071-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0666T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918072-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0667T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918073-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0668T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918074-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0669T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918075-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0670T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918076-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0671T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918077-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0672T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918078-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0673T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918079-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0674T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918080-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0675T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918081-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0676T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918082-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0677T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918083-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0678T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918084-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0679T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918085-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0680T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918086-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0681T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918087-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0682T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918088-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0683T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918089-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0683T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918090-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0683T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918091-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0684T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918092-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0684T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918093-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0684T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918094-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0685T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918095-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0685T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918096-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0685T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918097-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0686T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918098-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0687T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918099-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0688T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918100-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0689T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918101-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0689T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918102-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0689T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918103-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0690T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918104-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0690T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918105-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0690T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918106-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0691T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918107-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0691T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918108-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0691T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918109-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0692T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918110-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0693T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918111-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0694T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918112-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0694T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918113-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0694T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918114-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0695T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918115-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0696T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918116-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0697T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918117-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0697T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918118-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0697T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918119-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0698T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918120-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0698T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918121-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0698T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918122-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0699T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918123-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0700T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918124-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0700T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918125-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0700T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918126-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0701T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918127-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0701T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73918128-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0701T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73918129-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0702T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918130-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0703T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918131-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0704T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918132-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0705T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918133-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0706T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918134-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0707T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918135-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0708T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918136-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0709T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918137-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0710T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918138-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0711T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918139-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0712T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918140-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"0713T", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918141-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EMERGENCY AMBULANCE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10004", "description":"EMERGENCY AMBULANCE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918142-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10005", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918143-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10006", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918144-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10007", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918145-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10008", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918146-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10009", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918147-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1000F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918148-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10010", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918149-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10021", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":165.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918150-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1002F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918151-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10030", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918152-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10035", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918153-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10036", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918154-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1003F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918155-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ACNE SURG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10040", "description":"ACNE SURG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":111.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918156-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1004F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918157-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1005F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918158-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D ABSCESS; SIMPL/SNGL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10060", "description":"I&D ABSCESS; SIMPL/SNGL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":123.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918159-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D ABSCESS; COMPLIC/MX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10061", "description":"I&D ABSCESS; COMPLIC/MX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":210.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918160-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1006F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918161-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1007F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918162-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D PILONIDAL CYST; SIMPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10080", "description":"I&D PILONIDAL CYST; SIMPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":196.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918163-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D PILONIDAL CYST; COMPLIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10081", "description":"I&D PILONIDAL CYST; COMPLIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":300.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918164-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1008F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918165-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1010F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918166-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1011F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918167-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS & REMOV FB SUBQ TISS; SIM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10120", "description":"INCS & REMOV FB SUBQ TISS; SIM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":158.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918168-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS & REMOV FB SUBQ TISS; COM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10121", "description":"INCS & REMOV FB SUBQ TISS; COM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":301.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918169-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1012F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918170-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D HEMATOMA/SEROMA/FLUID COLL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10140", "description":"I&D HEMATOMA/SEROMA/FLUID COLL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":172.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918171-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1015F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918172-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PUNCT ASPIRAT ABSCESS/HEMATOMA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10160", "description":"PUNCT ASPIRAT ABSCESS/HEMATOMA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":141.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918173-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D COMPLX POSTOP WOUND INFEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"10180", "description":"I&D COMPLX POSTOP WOUND INFEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":263.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918174-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1018F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918175-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1019F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918176-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1022F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918177-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1026F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918178-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1030F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918179-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1031F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918180-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1032F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918181-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1033F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918182-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1034F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918183-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1035F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918184-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1036F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918185-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1038F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918186-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1039F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918187-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1040F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918188-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1050F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918189-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1052F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918190-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1055F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918191-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1060F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918192-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1061F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918193-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1065F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918194-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1066F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918195-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1070F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918196-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1071F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918197-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1090F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918198-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1091F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918199-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DEBRID EXTEN ECZEMAT/INFEC SKI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11000", "description":"DEBRID EXTEN ECZEMAT/INFEC SKI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":61.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918200-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DEBRID EXTEN ECZEMAT/INFEC SKI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11001", "description":"DEBRID EXTEN ECZEMAT/INFEC SKI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":26.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918201-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11004", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":677.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918202-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11005", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":894.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918203-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11006", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":839.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918204-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11008", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":323.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918205-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1100F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918206-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DEBRID INCL REMOV FOREIGN MAT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11010", "description":"DEBRID INCL REMOV FOREIGN MAT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":537.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918207-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DEBRID INCL REMOV FOREIGN MAT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11011", "description":"DEBRID INCL REMOV FOREIGN MAT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":610.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918208-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DEBRID INCL REMOV FOREIGN MAT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11012", "description":"DEBRID INCL REMOV FOREIGN MAT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":852.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918209-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1101F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918210-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DEBRID; SKIN & SUBQ TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11042", "description":"DEBRID; SKIN & SUBQ TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":85.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918211-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DEBRID; SKIN-SUBQ TISS-MUSCL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11043", "description":"DEBRID; SKIN-SUBQ TISS-MUSCL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":312.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918212-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DEBRID; SKIN-SUBQ TISS-MUSCL-B", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11044", "description":"DEBRID; SKIN-SUBQ TISS-MUSCL-B", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":421.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918213-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11045", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918214-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11046", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918215-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11047", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918216-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11055", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":54.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918217-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11056", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":66.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918218-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11057", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918219-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11102", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918220-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11103", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918221-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11104", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918222-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11105", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918223-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11106", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918224-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11107", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918225-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1110F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918226-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1111F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918227-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1116F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918228-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1118F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918229-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1119F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918230-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV SKIN TAGS ANY AREA; TO &", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11200", "description":"REMOV SKIN TAGS ANY AREA; TO &", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":92.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918231-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV SKIN TAGS ANY AREA; EA A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11201", "description":"REMOV SKIN TAGS ANY AREA; EA A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":22.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918232-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1121F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918233-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1123F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918234-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1124F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918235-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1125F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918236-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1126F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918237-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1127F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918238-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1128F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918239-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SHAVING 1 LES TRUNK/ARMS/LEGS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11300", "description":"SHAVING 1 LES TRUNK/ARMS/LEGS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":76.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918240-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SHAVING 1 LES TRUNK/ARMS/LEGS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11301", "description":"SHAVING 1 LES TRUNK/ARMS/LEGS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":102.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918241-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SHAVING 1 LES TRUNK/ARMS/LEGS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11302", "description":"SHAVING 1 LES TRUNK/ARMS/LEGS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":122.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918242-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SHAVING 1 LES TRUNK/ARMS/LEGS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11303", "description":"SHAVING 1 LES TRUNK/ARMS/LEGS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":144.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918243-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SHAVING 1 LES SCALP/HANDS/FT/G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11305", "description":"SHAVING 1 LES SCALP/HANDS/FT/G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":78.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918244-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SHAVING 1 LES SCALP/HANDS/FT/G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11306", "description":"SHAVING 1 LES SCALP/HANDS/FT/G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":107.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918245-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SHAVING 1 LES SCALP/HANDS/FT/G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11307", "description":"SHAVING 1 LES SCALP/HANDS/FT/G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":125.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918246-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SHAVING 1 LES SCALP/HANDS/FT/G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11308", "description":"SHAVING 1 LES SCALP/HANDS/FT/G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":143.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918247-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1130F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918248-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SHAVING 1 LES FACE/EARS/NOSE/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11310", "description":"SHAVING 1 LES FACE/EARS/NOSE/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":94.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918249-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SHAVING 1 LES FACE/EARS/NOSE/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11311", "description":"SHAVING 1 LES FACE/EARS/NOSE/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":117.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918250-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SHAVING 1 LES FACE/EARS/NOSE/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11312", "description":"SHAVING 1 LES FACE/EARS/NOSE/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":136.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918251-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SHAVING 1 LES FACE/EARS/NOSE/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11313", "description":"SHAVING 1 LES FACE/EARS/NOSE/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":172.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918252-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1134F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918253-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1135F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918254-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1136F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918255-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1137F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918256-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN LES TRUNK/ARMS/LEGS; 0", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11400", "description":"EXC BEN LES TRUNK/ARMS/LEGS; 0", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":134.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918257-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN LES TRUNK/ARMS/LEGS; 0", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11401", "description":"EXC BEN LES TRUNK/ARMS/LEGS; 0", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":161.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918258-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN LES TRUNK/ARMS/LEGS; 1", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11402", "description":"EXC BEN LES TRUNK/ARMS/LEGS; 1", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":178.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918259-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN LES TRUNK/ARMS/LEGS; 2", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11403", "description":"EXC BEN LES TRUNK/ARMS/LEGS; 2", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":205.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918260-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN LES TRUNK/ARMS/LEGS; 3", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11404", "description":"EXC BEN LES TRUNK/ARMS/LEGS; 3", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":234.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918261-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN LES TRUNK/ARMS/LEGS; O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11406", "description":"EXC BEN LES TRUNK/ARMS/LEGS; O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":324.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918262-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN LES SCALP/HANDS/FT/GEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11420", "description":"EXC BEN LES SCALP/HANDS/FT/GEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":134.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918263-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN LES SCALP/HANDS/FT/GEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11421", "description":"EXC BEN LES SCALP/HANDS/FT/GEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":172.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918264-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN LES SCALP/HANDS/FT/GEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11422", "description":"EXC BEN LES SCALP/HANDS/FT/GEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":192.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918265-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN LES SCALP/HANDS/FT/GEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11423", "description":"EXC BEN LES SCALP/HANDS/FT/GEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":224.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918266-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN LES SCALP/HANDS/FT/GEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11424", "description":"EXC BEN LES SCALP/HANDS/FT/GEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":256.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918267-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN LES SCALP/HANDS/FT/GEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11426", "description":"EXC BEN LES SCALP/HANDS/FT/GEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":366.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918268-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN LES FACE/EARS/NOSE/LIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11440", "description":"EXC BEN LES FACE/EARS/NOSE/LIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":149.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918269-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN LES FACE/EARS/NOSE/LIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11441", "description":"EXC BEN LES FACE/EARS/NOSE/LIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":184.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918270-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN LES FACE/EARS/NOSE/LIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11442", "description":"EXC BEN LES FACE/EARS/NOSE/LIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":207.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918271-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN LES FACE/EARS/NOSE/LIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11443", "description":"EXC BEN LES FACE/EARS/NOSE/LIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":249.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918272-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN LES FACE/EARS/NOSE/LIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11444", "description":"EXC BEN LES FACE/EARS/NOSE/LIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":314.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918273-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN LES FACE/EARS/NOSE/LIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11446", "description":"EXC BEN LES FACE/EARS/NOSE/LIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":422.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918274-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC SKIN HIDRADENITIS AX; SIMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11450", "description":"EXC SKIN HIDRADENITIS AX; SIMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":396.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918275-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC SKIN HIDRADENITIS AX; W/CO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11451", "description":"EXC SKIN HIDRADENITIS AX; W/CO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":523.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918276-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC SKIN HIDRADENITIS ING; W/S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11462", "description":"EXC SKIN HIDRADENITIS ING; W/S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":391.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918277-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC SKIN HIDRADENITIS ING; W/C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11463", "description":"EXC SKIN HIDRADENITIS ING; W/C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":533.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918278-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC SKIN HIDRADENITIS PERIANAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11470", "description":"EXC SKIN HIDRADENITIS PERIANAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":430.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918279-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC SKIN HIDRADENITIS PERIANAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11471", "description":"EXC SKIN HIDRADENITIS PERIANAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":552.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918280-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1150F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918281-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1151F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918282-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1152F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918283-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1153F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918284-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1157F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918285-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1158F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918286-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1159F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918287-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG LES TRUNK/ARMS/LEGS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11600", "description":"EXC MALIG LES TRUNK/ARMS/LEGS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":203.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918288-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG LES TRUNK/ARMS/LEGS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11601", "description":"EXC MALIG LES TRUNK/ARMS/LEGS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":242.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918289-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG LES TRUNK/ARMS/LEGS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11602", "description":"EXC MALIG LES TRUNK/ARMS/LEGS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":264.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918290-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG LES TRUNK/ARMS/LEGS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11603", "description":"EXC MALIG LES TRUNK/ARMS/LEGS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":301.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918291-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG LES TRUNK/ARMS/LEGS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11604", "description":"EXC MALIG LES TRUNK/ARMS/LEGS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":332.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918292-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG LES TRUNK/ARMS/LEGS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11606", "description":"EXC MALIG LES TRUNK/ARMS/LEGS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":465.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918293-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1160F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918294-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG LES SCLP/HANDS/FT/GE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11620", "description":"EXC MALIG LES SCLP/HANDS/FT/GE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":205.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918295-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG LES SCLP/HANDS/FT/GE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11621", "description":"EXC MALIG LES SCLP/HANDS/FT/GE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":244.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918296-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG LES SCLP/HANDS/FT/GE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11622", "description":"EXC MALIG LES SCLP/HANDS/FT/GE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":275.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918297-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG LES SCLP/HANDS/FT/GE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11623", "description":"EXC MALIG LES SCLP/HANDS/FT/GE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":322.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918298-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG LES SCLP/HANDS/FT/GE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11624", "description":"EXC MALIG LES SCLP/HANDS/FT/GE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":365.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918299-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG LES SCLP/HANDS/FT/GE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11626", "description":"EXC MALIG LES SCLP/HANDS/FT/GE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":449.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918300-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG LES FACE/EARS/NOSE/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11640", "description":"EXC MALIG LES FACE/EARS/NOSE/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":213.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918301-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG LES FACE/EARS/NOSE/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11641", "description":"EXC MALIG LES FACE/EARS/NOSE/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":261.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918302-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG LES FACE/EARS/NOSE/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11642", "description":"EXC MALIG LES FACE/EARS/NOSE/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":300.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918303-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG LES FACE/EARS/NOSE/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11643", "description":"EXC MALIG LES FACE/EARS/NOSE/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":353.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918304-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG LES FACE/EARS/NOSE/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11644", "description":"EXC MALIG LES FACE/EARS/NOSE/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":439.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918305-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG LES FACE/EARS/NOSE/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11646", "description":"EXC MALIG LES FACE/EARS/NOSE/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":578.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918306-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1170F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918307-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11719", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":23.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918308-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DEBRID NAIL(S) ANY METHD(S); O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11720", "description":"DEBRID NAIL(S) ANY METHD(S); O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":35.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918309-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DEBRID NAIL(S) ANY METHD(S); S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11721", "description":"DEBRID NAIL(S) ANY METHD(S); S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":50.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918310-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AVULSION NAIL PLATE PART/COMPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11730", "description":"AVULSION NAIL PLATE PART/COMPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":110.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918311-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AVULSION PLATE PART/COMPLT SIM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11732", "description":"AVULSION PLATE PART/COMPLT SIM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":52.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918312-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EVACUATION SUBUNGUAL HEMATOMA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11740", "description":"EVACUATION SUBUNGUAL HEMATOMA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":50.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918313-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC NAIL/MATRIX PART/COMPLT PE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11750", "description":"EXC NAIL/MATRIX PART/COMPLT PE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":237.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918314-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX NAIL UNIT ANY METHD (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11755", "description":"BX NAIL UNIT ANY METHD (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":149.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918315-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1175F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918316-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NAIL BED", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11760", "description":"REPR NAIL BED", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":222.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918317-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON NAIL BED W/GFT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11762", "description":"RECON NAIL BED W/GFT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":300.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918318-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"WEDGE EXC SKIN NAIL FOLD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11765", "description":"WEDGE EXC SKIN NAIL FOLD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":142.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918319-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC PILONIDAL CYST/SINUS; SIMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11770", "description":"EXC PILONIDAL CYST/SINUS; SIMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":296.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918320-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC PILONIDAL CYST/SINUS; EXTE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11771", "description":"EXC PILONIDAL CYST/SINUS; EXTE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":587.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918321-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC PILONIDAL CYST/SINUS; COMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11772", "description":"EXC PILONIDAL CYST/SINUS; COMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":725.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918322-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1180F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918323-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1181F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918324-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1182F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918325-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1183F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918326-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ INTRALES; UP TO & INCL 7 L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11900", "description":"INJ INTRALES; UP TO & INCL 7 L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":62.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918327-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ INTRALES; MORE THAN 7 LES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11901", "description":"INJ INTRALES; MORE THAN 7 LES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":76.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918328-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TATTOOING INCL MICROPIGMENTATI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11920", "description":"TATTOOING INCL MICROPIGMENTATI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":225.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918329-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TATTOOING INCL MICROPIGMENTATI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11921", "description":"TATTOOING INCL MICROPIGMENTATI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":254.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918330-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TATTOOING INCL MICROPIGMENTATI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11922", "description":"TATTOOING INCL MICROPIGMENTATI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":73.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918331-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUBQ INJ FILLING MAT; 1 CC/LES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11950", "description":"SUBQ INJ FILLING MAT; 1 CC/LES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":89.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918332-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUBQ INJ FILLING MAT; 1.1 TO 5", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11951", "description":"SUBQ INJ FILLING MAT; 1.1 TO 5", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":114.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918333-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUBQ INJ FILLING MAT; 5.1 TO 1", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11952", "description":"SUBQ INJ FILLING MAT; 5.1 TO 1", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":165.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918334-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUBQ INJ FILLING MAT; OVER 10.", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11954", "description":"SUBQ INJ FILLING MAT; OVER 10.", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":193.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918335-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT EXPANDER NOT BREAST INCL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11960", "description":"INSRT EXPANDER NOT BREAST INCL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1039.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918336-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLAC TISS EXPANDER W/PERM PR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11970", "description":"REPLAC TISS EXPANDER W/PERM PR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":681.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918337-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV TISS EXPANDER WO INSRT P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11971", "description":"REMOV TISS EXPANDER WO INSRT P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":551.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918338-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV IMPLNT CONTRACEPTIVE CAP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11976", "description":"REMOV IMPLNT CONTRACEPTIVE CAP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":169.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918339-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11980", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":123.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918340-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11981", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":157.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918341-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11982", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":180.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918342-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"11983", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":274.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918343-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL REPR SCLP/AX/GENIT/TRUNK", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12001", "description":"SIMPL REPR SCLP/AX/GENIT/TRUNK", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":171.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918344-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL REPR SCLP/AX/GENIT/TRUNK", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12002", "description":"SIMPL REPR SCLP/AX/GENIT/TRUNK", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":182.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918345-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL REPR SCLP/AX/GENIT/TRUNK", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12004", "description":"SIMPL REPR SCLP/AX/GENIT/TRUNK", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":213.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918346-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL REPR SCLP/AX/GENIT/TRUNK", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12005", "description":"SIMPL REPR SCLP/AX/GENIT/TRUNK", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":266.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918347-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL REPR SCLP/AX/GENIT/TRUNK", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12006", "description":"SIMPL REPR SCLP/AX/GENIT/TRUNK", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":332.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918348-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL REPR SCLP/AX/GENIT/TRUNK", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12007", "description":"SIMPL REPR SCLP/AX/GENIT/TRUNK", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":372.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918349-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1200F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918350-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL REPR FACE/EARS/NOSE/MUCO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12011", "description":"SIMPL REPR FACE/EARS/NOSE/MUCO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":182.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918351-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL REPR FACE/EARS/NOSE/MUCO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12013", "description":"SIMPL REPR FACE/EARS/NOSE/MUCO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":200.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918352-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL REPR FACE/EARS/NOSE/MUCO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12014", "description":"SIMPL REPR FACE/EARS/NOSE/MUCO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":235.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918353-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL REPR FACE/EARS/NOSE/MUCO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12015", "description":"SIMPL REPR FACE/EARS/NOSE/MUCO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":296.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918354-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL REPR FACE/EARS/NOSE/MUCO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12016", "description":"SIMPL REPR FACE/EARS/NOSE/MUCO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":350.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918355-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL REPR FACE/EARS/NOSE/MUCO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12017", "description":"SIMPL REPR FACE/EARS/NOSE/MUCO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":309.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918356-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL REPR FACE/EARS/NOSE/MUCO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12018", "description":"SIMPL REPR FACE/EARS/NOSE/MUCO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":369.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918357-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TX SUPERF WOUND DEHISCENCE; SI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12020", "description":"TX SUPERF WOUND DEHISCENCE; SI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":308.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918358-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TX SUPERF WOUND DEHISCENCE; W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12021", "description":"TX SUPERF WOUND DEHISCENCE; W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":179.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918359-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAYER CLO SCLP/AX/TRUNK/EXTREM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12031", "description":"LAYER CLO SCLP/AX/TRUNK/EXTREM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":251.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918360-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAYER CLO SCLP/AX/TRUNK/EXTREM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12032", "description":"LAYER CLO SCLP/AX/TRUNK/EXTREM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":334.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918361-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAYER CLO SCLP/AX/TRUNK/EXTREM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12034", "description":"LAYER CLO SCLP/AX/TRUNK/EXTREM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":328.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918362-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAYER CLO SCLP/AX/TRUNK/EXTREM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12035", "description":"LAYER CLO SCLP/AX/TRUNK/EXTREM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":418.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918363-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAYER CLO SCLP/AX/TRUNK/EXTREM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12036", "description":"LAYER CLO SCLP/AX/TRUNK/EXTREM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":462.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918364-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAYER CLO SCLP/AX/TRUNK/EXTREM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12037", "description":"LAYER CLO SCLP/AX/TRUNK/EXTREM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":520.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918365-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12041", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":267.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918366-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAYER CLO NECK/HANDS/FT/GENIT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12042", "description":"LAYER CLO NECK/HANDS/FT/GENIT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":315.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918367-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAYER CLO NECK/HANDS/FT/GENIT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12044", "description":"LAYER CLO NECK/HANDS/FT/GENIT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":357.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918368-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAYER CLO NECK/HANDS/FT/GENIT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12045", "description":"LAYER CLO NECK/HANDS/FT/GENIT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":423.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918369-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAYER CLO NECK/HANDS/FT/GENIT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12046", "description":"LAYER CLO NECK/HANDS/FT/GENIT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":500.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918370-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAYER CLO NECK/HANDS/FT/GENIT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12047", "description":"LAYER CLO NECK/HANDS/FT/GENIT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":536.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918371-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAYER CLO FACE/EARS/NOSE/LIPS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12051", "description":"LAYER CLO FACE/EARS/NOSE/LIPS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":295.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918372-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAYER CLO FACE/EARS/NOSE/LIPS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12052", "description":"LAYER CLO FACE/EARS/NOSE/LIPS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":325.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918373-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAYER CLO FACE/EARS/NOSE/LIPS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12053", "description":"LAYER CLO FACE/EARS/NOSE/LIPS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":355.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918374-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAYER CLO FACE/EARS/NOSE/LIPS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12054", "description":"LAYER CLO FACE/EARS/NOSE/LIPS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":381.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918375-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAYER CLO FACE/EARS/NOSE/LIPS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12055", "description":"LAYER CLO FACE/EARS/NOSE/LIPS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":466.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918376-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAYER CLO FACE/EARS/NOSE/LIPS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12056", "description":"LAYER CLO FACE/EARS/NOSE/LIPS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":574.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918377-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAYER CLO FACE/EARS/NOSE/LIPS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"12057", "description":"LAYER CLO FACE/EARS/NOSE/LIPS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":619.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918378-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1205F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918379-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1220F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918380-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR COMPLX TRUNK; 1.1 CM TO 2", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"13100", "description":"REPR COMPLX TRUNK; 1.1 CM TO 2", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":353.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918381-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR COMPLX TRUNK; 2.6 CM TO 7", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"13101", "description":"REPR COMPLX TRUNK; 2.6 CM TO 7", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":439.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918382-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"13102", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":121.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918383-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR COMPLX SCLP/ARMS/LEGS; 1.", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"13120", "description":"REPR COMPLX SCLP/ARMS/LEGS; 1.", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":367.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918384-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR COMPLX SCLP/ARMS/LEGS; 2.", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"13121", "description":"REPR COMPLX SCLP/ARMS/LEGS; 2.", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":481.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918385-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"13122", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":139.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918386-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR COMPLX FOREHEAD/CHIN/AX/G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"13131", "description":"REPR COMPLX FOREHEAD/CHIN/AX/G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":404.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918387-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR COMPLX FOREHEAD/CHIN/AX/G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"13132", "description":"REPR COMPLX FOREHEAD/CHIN/AX/G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":632.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918388-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"13133", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":190.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918389-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR COMPLX LIDS/NOSE/EARS/LIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"13151", "description":"REPR COMPLX LIDS/NOSE/EARS/LIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":457.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918390-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR COMPLX LIDS/NOSE/EARS/LIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"13152", "description":"REPR COMPLX LIDS/NOSE/EARS/LIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":623.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918391-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"13153", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":210.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918392-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SECNDRY CLO SURG WOUND/DEHISCE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"13160", "description":"SECNDRY CLO SURG WOUND/DEHISCE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":921.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918393-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADJACENT TISS TRANSF TRUNK; DE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"14000", "description":"ADJACENT TISS TRANSF TRUNK; DE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":728.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918394-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADJACENT TISS TRANSF TRUNK; 10", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"14001", "description":"ADJACENT TISS TRANSF TRUNK; 10", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":947.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918395-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1400F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918396-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADJACENT TRANSF SCLP/ARMS/LEGS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"14020", "description":"ADJACENT TRANSF SCLP/ARMS/LEGS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":812.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918397-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADJACENT TRANSF SCLP/ARMS/LEGS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"14021", "description":"ADJACENT TRANSF SCLP/ARMS/LEGS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1067.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918398-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADJACENT TRANSF CHIN/NECK/AX/F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"14040", "description":"ADJACENT TRANSF CHIN/NECK/AX/F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":854.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918399-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADJACENT TRANSF CHIN/NECK/AX/F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"14041", "description":"ADJACENT TRANSF CHIN/NECK/AX/F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1172.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918400-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADJACENT TRANSF LIDS/NOSE/LIPS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"14060", "description":"ADJACENT TRANSF LIDS/NOSE/LIPS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":872.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918401-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADJACENT TRANSF LIDS/NOSE/LIPS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"14061", "description":"ADJACENT TRANSF LIDS/NOSE/LIPS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1272.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918402-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"14301", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918403-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"14302", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918404-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FILLETED FINGER/TOE FLAP W/PRE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"14350", "description":"FILLETED FINGER/TOE FLAP W/PRE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":865.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918405-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1450F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918406-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1451F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918407-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1460F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918408-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1461F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918409-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1490F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918410-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1491F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918411-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1493F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918412-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1494F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918413-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15002", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":381.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918414-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15003", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":82.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918415-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15004", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":459.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918416-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15005", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":138.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918417-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1500F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918418-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1501F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918419-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1502F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918420-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1503F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918421-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15040", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":301.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918422-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1504F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918423-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PINCH GFT 1/MX TO COVER SMALL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15050", "description":"PINCH GFT 1/MX TO COVER SMALL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":608.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918424-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"1505F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918425-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SPLIT GFT TRUNK; 100 SQ CM/LES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15100", "description":"SPLIT GFT TRUNK; 100 SQ CM/LES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1015.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918426-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SPLIT GFT TRUNK; EA AD 100 SQ", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15101", "description":"SPLIT GFT TRUNK; EA AD 100 SQ", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":234.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918427-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15110", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":996.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918428-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15111", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":143.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918429-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15115", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":982.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918430-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15116", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":190.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918431-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SPLIT GFT FACE; 100 SQ CM/LESS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15120", "description":"SPLIT GFT FACE; 100 SQ CM/LESS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1058.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918432-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SPLIT GFT FACE; EA AD 100 SQ C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15121", "description":"SPLIT GFT FACE; EA AD 100 SQ C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":321.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918433-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15130", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":791.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918434-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15131", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":115.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918435-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15135", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":993.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918436-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15136", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":110.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918437-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15150", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":825.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918438-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15151", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":150.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918439-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15152", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":185.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918440-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15155", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":856.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918441-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15156", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":200.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918442-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15157", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":221.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918443-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FULL THICK GFT-FREE-TRUNK; 20", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15200", "description":"FULL THICK GFT-FREE-TRUNK; 20", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":897.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918444-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FULL THICK GFT-FREE-TRUNK; EA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15201", "description":"FULL THICK GFT-FREE-TRUNK; EA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":175.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918445-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FULL THICK GFT-FREE-SCLP; 20 S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15220", "description":"FULL THICK GFT-FREE-SCLP; 20 S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":855.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918446-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FULL THICK GFT-FREE-SCLP; EA A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15221", "description":"FULL THICK GFT-FREE-SCLP; EA A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":163.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918447-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FULL THICK GFT CHIN/NECK/AX/HA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15240", "description":"FULL THICK GFT CHIN/NECK/AX/HA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1019.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918448-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FULL THICK GFT CHIN/NECK/AX/HA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15241", "description":"FULL THICK GFT CHIN/NECK/AX/HA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":210.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918449-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FULL THICK GFT NOSE/EARS/LIDS/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15260", "description":"FULL THICK GFT NOSE/EARS/LIDS/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1091.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918450-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FULL THICK GFT NOSE/EARS/LIDS/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15261", "description":"FULL THICK GFT NOSE/EARS/LIDS/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":243.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918451-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15271", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918452-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15272", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918453-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15273", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918454-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15274", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918455-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15275", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918456-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15276", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918457-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15277", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918458-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15278", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918459-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FORMATION DIR/TUBED PEDICLE W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15570", "description":"FORMATION DIR/TUBED PEDICLE W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1004.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918460-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FORMATION DIR/TUBED PEDICLE W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15572", "description":"FORMATION DIR/TUBED PEDICLE W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":947.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918461-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FORM DIR PEDICLE W/WO TRANSF;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15574", "description":"FORM DIR PEDICLE W/WO TRANSF;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1020.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918462-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FORM DIR PEDICLE W/WO TRANSF;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15576", "description":"FORM DIR PEDICLE W/WO TRANSF;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":908.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918463-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DELAY FLAP/SECT FLAP; AT TRUNK", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15600", "description":"DELAY FLAP/SECT FLAP; AT TRUNK", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":406.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918464-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DELAY FLAP/SECT FLAP; AT SCLP/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15610", "description":"DELAY FLAP/SECT FLAP; AT SCLP/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":368.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918465-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DELAY FLAP/SECT FLAP; FOREHEAD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15620", "description":"DELAY FLAP/SECT FLAP; FOREHEAD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":516.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918466-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DELAY FLAP/SECT; LIDS/NOSE/EAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15630", "description":"DELAY FLAP/SECT; LIDS/NOSE/EAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":527.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918467-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSF INTERMED ANY PEDICLE FL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15650", "description":"TRANSF INTERMED ANY PEDICLE FL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":568.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918468-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MDFC FLAP W/PRSRV VASC PEDC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15730", "description":"MDFC FLAP W/PRSRV VASC PEDC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918469-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15731", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1245.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918470-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15733", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918471-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MUSCL MYOCUT/FASCIOCUT FLAP; T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15734", "description":"MUSCL MYOCUT/FASCIOCUT FLAP; T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1775.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918472-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MUSCL MYOCUT/FASCIOCUT FLAP; U", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15736", "description":"MUSCL MYOCUT/FASCIOCUT FLAP; U", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1597.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918473-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MUSCL MYOCUT/FASCIOCUT FLAP; L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15738", "description":"MUSCL MYOCUT/FASCIOCUT FLAP; L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1695.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918474-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FLAP; ISLAND PEDICLE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15740", "description":"FLAP; ISLAND PEDICLE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1108.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918475-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FLAP; NEUROVASCULAR PEDICLE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15750", "description":"FLAP; NEUROVASCULAR PEDICLE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1045.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918476-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FREE MUSC FLAP W/WO SKIN GFT W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15756", "description":"FREE MUSC FLAP W/WO SKIN GFT W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2734.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918477-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FREE SKIN FLAP W/MICROVASC ANA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15757", "description":"FREE SKIN FLAP W/MICROVASC ANA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2728.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918478-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FREE FASCIAL FLAP W/MICROVASC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15758", "description":"FREE FASCIAL FLAP W/MICROVASC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2720.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918479-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GFT; COMPOSITE INCL PRIM CLO D", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15760", "description":"GFT; COMPOSITE INCL PRIM CLO D", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":952.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918480-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15769", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918481-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GFT; DERM-FAT-FASCIA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15770", "description":"GFT; DERM-FAT-FASCIA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":745.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918482-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15771", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918483-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15772", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918484-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15773", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918485-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15774", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918486-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PUNCH GFT HAIR TRANSPL; 1 TO 1", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15775", "description":"PUNCH GFT HAIR TRANSPL; 1 TO 1", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":365.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918487-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PUNCH GFT HAIR TRANSPL; MORE T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15776", "description":"PUNCH GFT HAIR TRANSPL; MORE T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":516.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918488-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15777", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918489-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DERMABRASION; TOT FACE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15780", "description":"DERMABRASION; TOT FACE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":949.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918490-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DERMABRASION; SEGMT FACE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15781", "description":"DERMABRASION; SEGMT FACE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":606.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918491-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DERMABRASION; REGIONAL NOT FAC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15782", "description":"DERMABRASION; REGIONAL NOT FAC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":652.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918492-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DERMABRASION; SUPERF ANY SITE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15783", "description":"DERMABRASION; SUPERF ANY SITE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":558.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918493-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ABRASION; SNGL LES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15786", "description":"ABRASION; SNGL LES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":270.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918494-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ABRASION; EA ADD 4 LES/LESS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15787", "description":"ABRASION; EA ADD 4 LES/LESS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":62.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918495-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHEM PEEL FACIAL; EPIDERMAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15788", "description":"CHEM PEEL FACIAL; EPIDERMAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":485.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918496-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHEM PEEL FACIAL; DERMAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15789", "description":"CHEM PEEL FACIAL; DERMAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":647.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918497-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHEM PEEL; NONFACIAL; EPIDERMA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15792", "description":"CHEM PEEL; NONFACIAL; EPIDERMA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":474.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918498-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHEM PEEL; NONFACIAL; DERMAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15793", "description":"CHEM PEEL; NONFACIAL; DERMAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":523.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918499-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CERVICOPLASTY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15819", "description":"CERVICOPLASTY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":832.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918500-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BLEPHAROPLASTY LOWER EYELID", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15820", "description":"BLEPHAROPLASTY LOWER EYELID", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":607.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918501-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BLEPHAROPLASTY LOW; W/EXTEN HE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15821", "description":"BLEPHAROPLASTY LOW; W/EXTEN HE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":647.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918502-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BLEPHAROPLASTY UPPER EYELID", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15822", "description":"BLEPHAROPLASTY UPPER EYELID", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":479.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918503-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BLEPHAROPLASTY UPPER; W/EXCESS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15823", "description":"BLEPHAROPLASTY UPPER; W/EXCESS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":746.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918504-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15830", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1321.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918505-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC EXCESSIVE SKIN & SUBQ TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15832", "description":"EXC EXCESSIVE SKIN & SUBQ TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1019.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918506-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC EXCESSIVE SKIN & SUBQ TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15833", "description":"EXC EXCESSIVE SKIN & SUBQ TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":949.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918507-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC EXCESSIVE SKIN & SUBQ TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15834", "description":"EXC EXCESSIVE SKIN & SUBQ TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":968.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918508-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC EXCESSIVE SKIN & SUBQ TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15835", "description":"EXC EXCESSIVE SKIN & SUBQ TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":994.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918509-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC EXCESSIVE SKIN & SUBQ TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15836", "description":"EXC EXCESSIVE SKIN & SUBQ TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":836.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918510-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC EXCESSIVE SKIN & SUBQ TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15837", "description":"EXC EXCESSIVE SKIN & SUBQ TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":871.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918511-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC EXCESS SKIN SUBQ TISS; SUB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15838", "description":"EXC EXCESS SKIN SUBQ TISS; SUB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":657.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918512-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC EXCESSIVE SKIN & SUBQ TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15839", "description":"EXC EXCESSIVE SKIN & SUBQ TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":948.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918513-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GFT FACIAL NERV PARALYSIS; FRE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15840", "description":"GFT FACIAL NERV PARALYSIS; FRE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1158.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918514-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GFT FACIAL NERV PARALYSIS; FRE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15841", "description":"GFT FACIAL NERV PARALYSIS; FRE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1918.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918515-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GFT FACE NERV PARALYSIS; MUSCL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15842", "description":"GFT FACE NERV PARALYSIS; MUSCL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3033.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918516-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GFT FACIAL NERV PARALYSIS; REG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15845", "description":"GFT FACIAL NERV PARALYSIS; REG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1079.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918517-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV SUTURES UNDER ANES SAME", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15850", "description":"REMOV SUTURES UNDER ANES SAME", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":103.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918518-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV SUTURES UNDER ANES OTHER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15851", "description":"REMOV SUTURES UNDER ANES OTHER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":113.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918519-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DSG CHANGE UNDER ANES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15852", "description":"DSG CHANGE UNDER ANES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":56.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918520-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IV INJ AGENT TO TEST BLD FLOW", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15860", "description":"IV INJ AGENT TO TEST BLD FLOW", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":130.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918521-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC COCCYGEAL ULCER W/COCCYGEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15920", "description":"EXC COCCYGEAL ULCER W/COCCYGEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":660.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918522-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC COCCYGEAL ULCER W/COCCYGEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15922", "description":"EXC COCCYGEAL ULCER W/COCCYGEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":849.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918523-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC SACRAL PRESS ULCER W/PRIM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15931", "description":"EXC SACRAL PRESS ULCER W/PRIM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":757.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918524-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC SACRAL PRESS ULCER W/PRIM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15933", "description":"EXC SACRAL PRESS ULCER W/PRIM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":932.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918525-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC SACRAL PRESS ULCER W/SKIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15934", "description":"EXC SACRAL PRESS ULCER W/SKIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1042.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918526-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC SACRAL ULCER W/SKIN FLAP C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15935", "description":"EXC SACRAL ULCER W/SKIN FLAP C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1233.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918527-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC SACRAL ULCER W/MUSCL/MYOCU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15936", "description":"EXC SACRAL ULCER W/MUSCL/MYOCU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1017.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918528-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC SACRAL ULCER W/MUSCL/MYOCU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15937", "description":"EXC SACRAL ULCER W/MUSCL/MYOCU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1189.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918529-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC ISCHIAL PRESS ULCER W/PRIM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15940", "description":"EXC ISCHIAL PRESS ULCER W/PRIM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":783.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918530-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC ISCHIAL ULCER W/PRIM SUTUR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15941", "description":"EXC ISCHIAL ULCER W/PRIM SUTUR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1031.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918531-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC ISCHIAL PRESS ULCER W/SKIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15944", "description":"EXC ISCHIAL PRESS ULCER W/SKIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1004.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918532-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC ISCHIAL ULCER W/SKIN FLAP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15945", "description":"EXC ISCHIAL ULCER W/SKIN FLAP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1110.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918533-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC ISCHIAL ULCER W/OSTECT W/M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15946", "description":"EXC ISCHIAL ULCER W/OSTECT W/M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1842.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918534-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TROCH PRESS ULCER W/PRIM S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15950", "description":"EXC TROCH PRESS ULCER W/PRIM S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":648.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918535-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TROCH ULCER W/PRIM SUTURE;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15951", "description":"EXC TROCH ULCER W/PRIM SUTURE;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":924.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918536-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TROCH PRESS ULCER W/SKIN F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15952", "description":"EXC TROCH PRESS ULCER W/SKIN F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":961.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918537-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TROCH ULCER W/SKIN FLAP CL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15953", "description":"EXC TROCH ULCER W/SKIN FLAP CL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1071.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918538-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TROCH ULCER W/MUSCL/MYOCUT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15956", "description":"EXC TROCH ULCER W/MUSCL/MYOCUT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1302.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918539-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TROCH ULCER W/MUSCL/MYOCUT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"15958", "description":"EXC TROCH ULCER W/MUSCL/MYOCUT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1330.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918540-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INIT TX 1ST DEGREE BURN WHEN L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"16000", "description":"INIT TX 1ST DEGREE BURN WHEN L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918541-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DSG &/OR DEBRID INIT/SUBSQT; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"16020", "description":"DSG &/OR DEBRID INIT/SUBSQT; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":96.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918542-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DSG &/OR DEBRID INIT/SUBSQT; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"16025", "description":"DSG &/OR DEBRID INIT/SUBSQT; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":169.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918543-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DSG &/OR DEBRID INIT/SUBSQT; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"16030", "description":"DSG &/OR DEBRID INIT/SUBSQT; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":203.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918544-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESCHAROTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"16035", "description":"ESCHAROTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":249.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918545-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"16036", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":99.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918546-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT-ANY METHD-BEN FACE LES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17000", "description":"DESTRCT-ANY METHD-BEN FACE LES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":87.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918547-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17003", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":8.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918548-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17004", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":199.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918549-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT CUT VASCULAR PROLIFERA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17106", "description":"DESTRCT CUT VASCULAR PROLIFERA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":442.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918550-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT CUT VASCULAR PROLIF LE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17107", "description":"DESTRCT CUT VASCULAR PROLIF LE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":773.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918551-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT CUT VASCULAR PROLIF LE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17108", "description":"DESTRCT CUT VASCULAR PROLIF LE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1045.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918552-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT WARTS/MOLLUSCUM CONTAG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17110", "description":"DESTRCT WARTS/MOLLUSCUM CONTAG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":113.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918553-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17111", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":138.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918554-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHEM CAUT GRANULATION TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17250", "description":"CHEM CAUT GRANULATION TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":85.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918555-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT MALIG LES TRUNK/ARMS/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17260", "description":"DESTRCT MALIG LES TRUNK/ARMS/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":107.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918556-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT MALIG LES TRUNK/ARMS/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17261", "description":"DESTRCT MALIG LES TRUNK/ARMS/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":153.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918557-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT MALIG LES TRUNK/ARMS/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17262", "description":"DESTRCT MALIG LES TRUNK/ARMS/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":187.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918558-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT MALIG LES TRUNK/ARMS/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17263", "description":"DESTRCT MALIG LES TRUNK/ARMS/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":206.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918559-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT MALIG LES TRUNK/ARMS/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17264", "description":"DESTRCT MALIG LES TRUNK/ARMS/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":222.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918560-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT MALIG LES TRUNK/ARMS/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17266", "description":"DESTRCT MALIG LES TRUNK/ARMS/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":253.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918561-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT MALIG LES SCLP/HANDS/G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17270", "description":"DESTRCT MALIG LES SCLP/HANDS/G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":161.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918562-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT MALIG LES SCLP/HANDS/G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17271", "description":"DESTRCT MALIG LES SCLP/HANDS/G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":176.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918563-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT MALIG LES SCLP/HANDS/G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17272", "description":"DESTRCT MALIG LES SCLP/HANDS/G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":202.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918564-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT MALIG LES SCLP/HANDS/G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17273", "description":"DESTRCT MALIG LES SCLP/HANDS/G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":226.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918565-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT MALIG LES SCLP/HANDS/G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17274", "description":"DESTRCT MALIG LES SCLP/HANDS/G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":269.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918566-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT MALIG LES SCLP/HANDS/G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17276", "description":"DESTRCT MALIG LES SCLP/HANDS/G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":314.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918567-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT MALIG LES FACE/EARS/LI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17280", "description":"DESTRCT MALIG LES FACE/EARS/LI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":150.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918568-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT MALIG LES FACE/EARS/LI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17281", "description":"DESTRCT MALIG LES FACE/EARS/LI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":192.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918569-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT MALIG LES FACE/EARS/LI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17282", "description":"DESTRCT MALIG LES FACE/EARS/LI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":222.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918570-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT MALIG LES FACE/EARS/LI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17283", "description":"DESTRCT MALIG LES FACE/EARS/LI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":269.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918571-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT MALIG LES FACE/EARS/LI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17284", "description":"DESTRCT MALIG LES FACE/EARS/LI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":314.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918572-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT MALIG LES FACE/EARS/LI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17286", "description":"DESTRCT MALIG LES FACE/EARS/LI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":402.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918573-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17311", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":800.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918574-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17312", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":483.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918575-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17313", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":731.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918576-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17314", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":447.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918577-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17315", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":95.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918578-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRYOTHERAPY-ACNE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17340", "description":"CRYOTHERAPY-ACNE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":53.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918579-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHEM EXFOLIATION ACNE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"17360", "description":"CHEM EXFOLIATION ACNE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":146.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918580-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PUNCT ASPIRAT CYST BREAST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19000", "description":"PUNCT ASPIRAT CYST BREAST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":144.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918581-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PUNCT ASPIRAT CYST BREAST; EA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19001", "description":"PUNCT ASPIRAT CYST BREAST; EA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":35.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918582-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MASTOTOMY W/EXPLOR/DRAINAGE AB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19020", "description":"MASTOTOMY W/EXPLOR/DRAINAGE AB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":530.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918583-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC ONLY-MAMMARY DUCTOGRA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19030", "description":"INJ PROC ONLY-MAMMARY DUCTOGRA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":220.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918584-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19081", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918585-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19082", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918586-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19083", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918587-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19084", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918588-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19085", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918589-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19086", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918590-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX BREAST; NEEDLE CORE (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19100", "description":"BX BREAST; NEEDLE CORE (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":174.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918591-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX BREAST; INCS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19101", "description":"BX BREAST; INCS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":398.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918592-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19105", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2593.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918593-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NIPPLE EXPLOR W/WO EXC SOLITAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19110", "description":"NIPPLE EXPLOR W/WO EXC SOLITAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":536.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918594-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LACTIFEROUS DUCT FISTULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19112", "description":"EXC LACTIFEROUS DUCT FISTULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":514.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918595-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC CYST/BEN-MALIG TISS/DUCT/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19120", "description":"EXC CYST/BEN-MALIG TISS/DUCT/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":555.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918596-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BREAST LES-ID PRE-OP PLCMT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19125", "description":"EXC BREAST LES-ID PRE-OP PLCMT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":613.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918597-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BREAST LES; EA ADD LES-SEP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19126", "description":"EXC BREAST LES; EA ADD LES-SEP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":200.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918598-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19281", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918599-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19282", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918600-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19283", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918601-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19284", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918602-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19285", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918603-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19286", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918604-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19287", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918605-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19288", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918606-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PREP TUM CAV IORT PRTL MAST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19294", "description":"PREP TUM CAV IORT PRTL MAST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918607-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19296", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":5654.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918608-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19297", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":116.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918609-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19298", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1963.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918610-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19300", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":667.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918611-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19301", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":718.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918612-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19302", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1055.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918613-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19303", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1108.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918614-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19305", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1314.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918615-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19306", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1372.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918616-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19307", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1379.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918617-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MASTOPEXY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19316", "description":"MASTOPEXY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":960.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918618-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REDUCTION MAMMAPLASTY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19318", "description":"REDUCTION MAMMAPLASTY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1413.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918619-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MAMMAPLASTY AUGMEN; WO PROSTH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19324", "description":"MAMMAPLASTY AUGMEN; WO PROSTH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":592.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918620-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MAMMAPLASTY AUGMEN; W/PROSTH I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19325", "description":"MAMMAPLASTY AUGMEN; W/PROSTH I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":791.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918621-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV INTACT MAMMARY IMPLNT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19328", "description":"REMOV INTACT MAMMARY IMPLNT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":596.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918622-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV MAMMARY IMPLNT MAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19330", "description":"REMOV MAMMARY IMPLNT MAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":758.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918623-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMMED INSRT BREAST PROSTH AFTE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19340", "description":"IMMED INSRT BREAST PROSTH AFTE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":494.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918624-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DELAYED INSRT PROSTH AFTER MAS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19342", "description":"DELAYED INSRT PROSTH AFTER MAS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1124.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918625-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NIPPLE/AREOLA RECON", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19350", "description":"NIPPLE/AREOLA RECON", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1096.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918626-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORRECT INVERTED NIPPLES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19355", "description":"CORRECT INVERTED NIPPLES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":892.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918627-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BREAST RECON IMMED/DELAY W/EXP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19357", "description":"BREAST RECON IMMED/DELAY W/EXP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1895.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918628-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BREAST RECON W/LAT DORSI FLAP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19361", "description":"BREAST RECON W/LAT DORSI FLAP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1975.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918629-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BREAST RECON W/FREE FLAP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19364", "description":"BREAST RECON W/FREE FLAP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3443.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918630-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BREAST RECON W/OTHER TECH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19366", "description":"BREAST RECON W/OTHER TECH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1715.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918631-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BREAST RECON W/TRAM FLAP-1 PED", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19367", "description":"BREAST RECON W/TRAM FLAP-1 PED", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2246.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918632-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BREAST RECON W/TRAM FLAP-1 PED", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19368", "description":"BREAST RECON W/TRAM FLAP-1 PED", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2768.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918633-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BREAST RECON W/TRAM FLAP-2 PED", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19369", "description":"BREAST RECON W/TRAM FLAP-2 PED", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2550.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918634-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN PERIPROSTHETIC CAPSULOTOM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19370", "description":"OPEN PERIPROSTHETIC CAPSULOTOM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":832.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918635-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERIPROSTHETIC CAPSULECTOMY BR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19371", "description":"PERIPROSTHETIC CAPSULECTOMY BR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":960.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918636-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS RECON BREAST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19380", "description":"REVIS RECON BREAST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":938.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918637-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PREP MOULAGE CUSTOM BREAST IMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"19396", "description":"PREP MOULAGE CUSTOM BREAST IMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":261.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918638-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2000F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918639-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2001F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918640-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2002F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918641-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2004F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918642-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR PENETRATING WOUND (SEPA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20100", "description":"EXPLOR PENETRATING WOUND (SEPA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":828.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918643-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR PENETRATING WOUND (SEPA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20101", "description":"EXPLOR PENETRATING WOUND (SEPA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":547.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918644-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR PENETRAT WOUND (SEP PRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20102", "description":"EXPLOR PENETRAT WOUND (SEP PRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":643.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918645-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR PENETRATING WOUND (SEPA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20103", "description":"EXPLOR PENETRATING WOUND (SEPA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":782.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918646-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2010F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918647-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2014F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918648-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC EPIPHYSEAL BAR W/WO AUTOG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20150", "description":"EXC EPIPHYSEAL BAR W/WO AUTOG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1278.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918649-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2015F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918650-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2016F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918651-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2018F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918652-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2019F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918653-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX MUSCL; SUPERF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20200", "description":"BX MUSCL; SUPERF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":262.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918654-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX MUSCL; DEEP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20205", "description":"BX MUSCL; DEEP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":359.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918655-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX MUSCL PERCUT NEEDLE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20206", "description":"BX MUSCL PERCUT NEEDLE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":390.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918656-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2020F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918657-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2021F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918658-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX BONE TROCAR/NEEDLE; SUPERF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20220", "description":"BX BONE TROCAR/NEEDLE; SUPERF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":279.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918659-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX BONE TROCAR/NEEDLE; DEEP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20225", "description":"BX BONE TROCAR/NEEDLE; DEEP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1152.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918660-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2022F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918661-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2023F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918662-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX EXC; SUPERF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20240", "description":"BX EXC; SUPERF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":321.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918663-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX EXC; DEEP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20245", "description":"BX EXC; DEEP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":870.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918664-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2024F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918665-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX VERTEBRAL BODY OPEN; THORAC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20250", "description":"BX VERTEBRAL BODY OPEN; THORAC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":518.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918666-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX VERTEBRAL BODY OPEN; LUMBAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20251", "description":"BX VERTEBRAL BODY OPEN; LUMBAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":577.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918667-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2025F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918668-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2026F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918669-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2027F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918670-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2028F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918671-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2029F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918672-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2030F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918673-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2031F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918674-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2033F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918675-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2035F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918676-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2040F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918677-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2044F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918678-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ SINUS TRACT; THERAP (SEPAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20500", "description":"INJ SINUS TRACT; THERAP (SEPAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":174.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918679-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ SINUS TRACT; DX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20501", "description":"INJ SINUS TRACT; DX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":194.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918680-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2050F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918681-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB MUSCL/TENDON SHEATH;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20520", "description":"REMOV FB MUSCL/TENDON SHEATH;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":266.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918682-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB MUSCL/TENDON SHEATH;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20525", "description":"REMOV FB MUSCL/TENDON SHEATH;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":673.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918683-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20526", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":106.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918684-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20527", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918685-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ TENDON SHEATH/LIG/TRIGGER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20550", "description":"INJ TENDON SHEATH/LIG/TRIGGER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":81.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918686-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20551", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":81.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918687-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20552", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":74.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918688-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20553", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":83.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918689-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20555", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":461.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918690-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20560", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918691-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20561", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918692-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROCENTESIS/ASPIR/INJ; SM J", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20600", "description":"ARTHROCENTESIS/ASPIR/INJ; SM J", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":76.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918693-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20604", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918694-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROCENTESIS/ASPIR/INJ; INTE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20605", "description":"ARTHROCENTESIS/ASPIR/INJ; INTE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":82.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918695-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20606", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918696-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"2060F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918697-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROCENTESIS/ASPIR/INJ; MAJO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20610", "description":"ARTHROCENTESIS/ASPIR/INJ; MAJO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":104.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918698-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20611", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918699-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20612", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":81.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918700-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ASPIRAT & INJ TX BONE CYST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20615", "description":"ASPIRAT & INJ TX BONE CYST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":309.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918701-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT WIRE W/APPLIC TRACT W/RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20650", "description":"INSRT WIRE W/APPLIC TRACT W/RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":270.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918702-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC CRAN TONGS/CALIPER W/RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20660", "description":"APPLIC CRAN TONGS/CALIPER W/RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":367.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918703-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC HALO INCL REMOV; CRANIA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20661", "description":"APPLIC HALO INCL REMOV; CRANIA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":631.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918704-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC HALO INCL REMOV; PELVIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20662", "description":"APPLIC HALO INCL REMOV; PELVIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":652.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918705-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC HALO INCL REMOV; FEMORA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20663", "description":"APPLIC HALO INCL REMOV; FEMORA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":613.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918706-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20664", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1019.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918707-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV TONGS/HALO APPLIC BY ANO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20665", "description":"REMOV TONGS/HALO APPLIC BY ANO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":179.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918708-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV IMPLNT; SUPERF (SEPART P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20670", "description":"REMOV IMPLNT; SUPERF (SEPART P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":624.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918709-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV IMPLNT; DEEP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20680", "description":"REMOV IMPLNT; DEEP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":822.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918710-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC UNIPLANE-UNILAT-EXT FIX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20690", "description":"APPLIC UNIPLANE-UNILAT-EXT FIX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":697.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918711-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC MULTIPLANE-UNILAT-EXT F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20692", "description":"APPLIC MULTIPLANE-UNILAT-EXT F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1284.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918712-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADJUSTMENT/REVIS EXT FIXA SYST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20693", "description":"ADJUSTMENT/REVIS EXT FIXA SYST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":641.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918713-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV UNDER ANES EXT FIXA SYST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20694", "description":"REMOV UNDER ANES EXT FIXA SYST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":608.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918714-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20696", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918715-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20697", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918716-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20700", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918717-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20701", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918718-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20702", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918719-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20703", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918720-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20704", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918721-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20705", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918722-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLANTATION ARM; COMPLT AMPUT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20802", "description":"REPLANTATION ARM; COMPLT AMPUT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3386.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918723-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLANTATION FOREARM; COMPLT A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20805", "description":"REPLANTATION FOREARM; COMPLT A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4416.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918724-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLANTATION HAND; COMPLT AMPU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20808", "description":"REPLANTATION HAND; COMPLT AMPU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":5695.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918725-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLANTATION DIGIT (INCL MCP J", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20816", "description":"REPLANTATION DIGIT (INCL MCP J", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3419.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918726-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLANTATION DIGIT (DISTAL TIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20822", "description":"REPLANTATION DIGIT (DISTAL TIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2993.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918727-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLANTATION THUMB (CM JT-MP J", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20824", "description":"REPLANTATION THUMB (CM JT-MP J", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3383.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918728-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLANTATION THUMB (DISTAL TIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20827", "description":"REPLANTATION THUMB (DISTAL TIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3062.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918729-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLANTATION FT; COMPLT AMPUTA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20838", "description":"REPLANTATION FT; COMPLT AMPUTA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3360.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918730-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BONE GFT ANY DONOR AREA; MINOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20900", "description":"BONE GFT ANY DONOR AREA; MINOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":849.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918731-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BONE GFT ANY DONOR AREA; MAJOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20902", "description":"BONE GFT ANY DONOR AREA; MAJOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":844.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918732-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CARTILAGE GFT; COSTOCHONDRAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20910", "description":"CARTILAGE GFT; COSTOCHONDRAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":595.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918733-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CARTILAGE GFT; NASAL SEPTUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20912", "description":"CARTILAGE GFT; NASAL SEPTUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":677.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918734-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FASCIA LATA GFT; BY STRIPPER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20920", "description":"FASCIA LATA GFT; BY STRIPPER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":559.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918735-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FASCIA LATA GFT; INCS & AREA E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20922", "description":"FASCIA LATA GFT; INCS & AREA E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":824.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918736-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON GFT FROM A DISTANCE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20924", "description":"TENDON GFT FROM A DISTANCE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":702.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918737-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ALLOGFT SPINE SURG ONLY; STRUC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20931", "description":"ALLOGFT SPINE SURG ONLY; STRUC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":159.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918738-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20932", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918739-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20933", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918740-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20934", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918741-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AUTOGFT SPINE SURG ONLY; MORSE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20937", "description":"AUTOGFT SPINE SURG ONLY; MORSE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":242.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918742-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AUTOGFT SPINE SURG ONLY; STRUC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20938", "description":"AUTOGFT SPINE SURG ONLY; STRUC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":263.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918743-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BONE MARROW ASPIR BONE GRFG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20939", "description":"BONE MARROW ASPIR BONE GRFG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918744-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MONITOR INTERSTITIAL PRESS-DET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20950", "description":"MONITOR INTERSTITIAL PRESS-DET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":392.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918745-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BONE GFT W/MICROVASCULAR ANAST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20955", "description":"BONE GFT W/MICROVASCULAR ANAST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3551.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918746-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BONE GFT W/MICROVASC ANASTOM;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20956", "description":"BONE GFT W/MICROVASC ANASTOM;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3744.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918747-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BONE GFT W/MICROVASC ANASTOM;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20957", "description":"BONE GFT W/MICROVASC ANASTOM;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3528.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918748-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BONE GFT W/MICROVAS ANAST; NOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20962", "description":"BONE GFT W/MICROVAS ANAST; NOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3714.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918749-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FREE OSTEOCUT FLAP; NOT ILIAC/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20969", "description":"FREE OSTEOCUT FLAP; NOT ILIAC/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3960.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918750-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FREE OSTEOCUT FLAP W/MICROVASC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20970", "description":"FREE OSTEOCUT FLAP W/MICROVASC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3943.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918751-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FREE OSTEOCUT FLAP W/MICROVASC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20972", "description":"FREE OSTEOCUT FLAP W/MICROVASC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3580.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918752-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FREE OSTEOCUT FLAP W/MICROVASC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20973", "description":"FREE OSTEOCUT FLAP W/MICROVASC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3847.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918753-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ELEC STIM TO AID BONE HEALING;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20974", "description":"ELEC STIM TO AID BONE HEALING;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":85.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918754-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ELEC STIM TO AID BONE HEALING;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20975", "description":"ELEC STIM TO AID BONE HEALING;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":248.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918755-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20979", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":77.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918756-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20982", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":5842.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918757-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20983", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918758-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"20985", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":208.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918759-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY TEMPOROMANDIBULAR J", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21010", "description":"ARTHROTOMY TEMPOROMANDIBULAR J", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1008.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918760-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21011", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918761-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21012", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918762-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21013", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918763-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21014", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918764-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR SOFT TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21015", "description":"RADICAL RESECT TUMOR SOFT TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":592.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918765-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21016", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918766-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BONE; MANDIB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21025", "description":"EXC BONE; MANDIB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1351.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918767-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BONE; FACIAL BONE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21026", "description":"EXC BONE; FACIAL BONE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":797.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918768-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV BY CONTOURING BEN TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21029", "description":"REMOV BY CONTOURING BEN TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1019.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918769-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN TUMOR/CYST FACE BONE O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21030", "description":"EXC BEN TUMOR/CYST FACE BONE O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":664.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918770-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TORUS MANDIBULARIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21031", "description":"EXC TORUS MANDIBULARIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":510.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918771-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MAXIL TORUS PALATINUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21032", "description":"EXC MAXIL TORUS PALATINUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":519.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918772-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG TUMOR FACIAL BONE OT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21034", "description":"EXC MALIG TUMOR FACIAL BONE OT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1839.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918773-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BEN CYST/TUMOR MANDIB; SIM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21040", "description":"EXC BEN CYST/TUMOR MANDIB; SIM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":666.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918774-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG TUMOR MANDIB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21044", "description":"EXC MALIG TUMOR MANDIB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1216.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918775-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MALIG TUMOR MANDIB; RADICA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21045", "description":"EXC MALIG TUMOR MANDIB; RADICA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1690.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918776-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21046", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1487.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918777-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21047", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1818.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918778-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21048", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1514.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918779-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21049", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1748.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918780-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONDYLECTOMY TEMPOROMANDIBULAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21050", "description":"CONDYLECTOMY TEMPOROMANDIBULAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1178.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918781-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MENISCECTOMY PART/COMPLT TMJ (", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21060", "description":"MENISCECTOMY PART/COMPLT TMJ (", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1088.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918782-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORONOIDECTOMY (SEPART PROC)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21070", "description":"CORONOIDECTOMY (SEPART PROC)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":886.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918783-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21073", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":509.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918784-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPRESSION & CUSTOM PREP; SURG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21076", "description":"IMPRESSION & CUSTOM PREP; SURG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1375.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918785-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPRESSION & CUSTOM PREP; ORBI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21077", "description":"IMPRESSION & CUSTOM PREP; ORBI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3399.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918786-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPRESS & CUST PREP; INTERIM O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21079", "description":"IMPRESS & CUST PREP; INTERIM O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2328.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918787-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPRESS & CUST PREP; DEFINITIV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21080", "description":"IMPRESS & CUST PREP; DEFINITIV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2645.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918788-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPRESS & CUST PREP; MANDIB RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21081", "description":"IMPRESS & CUST PREP; MANDIB RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2411.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918789-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPRESS & CUST PREP; PALATAL A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21082", "description":"IMPRESS & CUST PREP; PALATAL A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2212.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918790-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPRESS & CUST PREP; PALATAL L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21083", "description":"IMPRESS & CUST PREP; PALATAL L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2104.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918791-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPRESS & CUST PREP; SPEECH AI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21084", "description":"IMPRESS & CUST PREP; SPEECH AI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2410.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918792-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPRESS & CUST PREP; ORAL SURG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21085", "description":"IMPRESS & CUST PREP; ORAL SURG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":964.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918793-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPRESS & CUST PREP; AURICULAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21086", "description":"IMPRESS & CUST PREP; AURICULAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2520.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918794-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPRESS & CUST PREP; NASAL PRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21087", "description":"IMPRESS & CUST PREP; NASAL PRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2501.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918795-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC HALO-MAXILLOFAC INCL RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21100", "description":"APPLIC HALO-MAXILLOFAC INCL RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1012.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918796-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC INTERDENTAL DEVICE-NOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21110", "description":"APPLIC INTERDENTAL DEVICE-NOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":985.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918797-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC TEMPOROMANDIBULAR JT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21116", "description":"INJ PROC TEMPOROMANDIBULAR JT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":241.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918798-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GENIOPLASTY; AUGMEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21120", "description":"GENIOPLASTY; AUGMEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":868.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918799-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GENIOPLASTY; SLIDING OSTEOTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21121", "description":"GENIOPLASTY; SLIDING OSTEOTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1029.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918800-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GENIOPLASTY; SLIDING OSTEOTOMI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21122", "description":"GENIOPLASTY; SLIDING OSTEOTOMI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":989.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918801-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GENIOPLASTY; SLIDING AUGMEN W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21123", "description":"GENIOPLASTY; SLIDING AUGMEN W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1164.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918802-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AUGMEN MANDIB BODY/ANGLE; PROS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21125", "description":"AUGMEN MANDIB BODY/ANGLE; PROS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4013.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918803-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AUGMEN MANDIB BODY/ANGLE; W/BO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21127", "description":"AUGMEN MANDIB BODY/ANGLE; W/BO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4370.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918804-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REDUCTION FOREHEAD; CONTOURING", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21137", "description":"REDUCTION FOREHEAD; CONTOURING", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1025.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918805-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REDUCT FOREHEAD; CONTOUR/APPLI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21138", "description":"REDUCT FOREHEAD; CONTOUR/APPLI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1242.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918806-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REDUCT FOREHEAD; SETBACK ANT F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21139", "description":"REDUCT FOREHEAD; SETBACK ANT F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1359.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918807-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MIDFACE LEFORT I; 1 PIEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21141", "description":"RECON MIDFACE LEFORT I; 1 PIEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1850.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918808-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MIDFACE LEFORT I; 2 PIEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21142", "description":"RECON MIDFACE LEFORT I; 2 PIEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1815.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918809-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MIDFACE LEFORT I; 3/MORE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21143", "description":"RECON MIDFACE LEFORT I; 3/MORE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1920.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918810-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MIDFACE LEFORT I; 1 PIEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21145", "description":"RECON MIDFACE LEFORT I; 1 PIEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2141.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918811-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MIDFACE LEFORT I; 2 PIEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21146", "description":"RECON MIDFACE LEFORT I; 2 PIEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2131.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918812-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MIDFACE LEFORT I; 3/MORE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21147", "description":"RECON MIDFACE LEFORT I; 3/MORE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2309.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918813-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MIDFACE LEFORT II; ANT I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21150", "description":"RECON MIDFACE LEFORT II; ANT I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2440.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918814-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MIDFACE LEFORT II; ANY D", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21151", "description":"RECON MIDFACE LEFORT II; ANY D", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2620.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918815-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MIDFACE LEFORT III REQ G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21154", "description":"RECON MIDFACE LEFORT III REQ G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2929.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918816-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MIDFACE LEFORT III REQ G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21155", "description":"RECON MIDFACE LEFORT III REQ G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3326.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918817-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MIDFACE FOREHEAD ADVANC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21159", "description":"RECON MIDFACE FOREHEAD ADVANC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3869.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918818-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MIDFACE FOREHEAD ADVANC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21160", "description":"RECON MIDFACE FOREHEAD ADVANC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4120.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918819-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON SUP-LAT ORBITAL RIM/LO F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21172", "description":"RECON SUP-LAT ORBITAL RIM/LO F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2423.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918820-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON BIFRONTAL ORBIT RIMS/LO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21175", "description":"RECON BIFRONTAL ORBIT RIMS/LO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2868.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918821-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MAJORITY FOREHEAD/SUPRAO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21179", "description":"RECON MAJORITY FOREHEAD/SUPRAO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2037.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918822-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MAJ FOREHEAD/SUPRAORBIT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21180", "description":"RECON MAJ FOREHEAD/SUPRAORBIT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2305.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918823-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON CONTOUR BEN TUMOR CRANIA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21181", "description":"RECON CONTOUR BEN TUMOR CRANIA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1003.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918824-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON ORBIT-EXC BONE TUM; BONE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21182", "description":"RECON ORBIT-EXC BONE TUM; BONE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2827.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918825-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON ORBIT-EXC TUM; BONE GFT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21183", "description":"RECON ORBIT-EXC TUM; BONE GFT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3218.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918826-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON ORBIT-EXC BONE TUM; BONE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21184", "description":"RECON ORBIT-EXC BONE TUM; BONE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3350.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918827-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MIDFACE OSTEOTOMIES & BO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21188", "description":"RECON MIDFACE OSTEOTOMIES & BO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2281.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918828-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MANDIB RAMI OSTEOTOMY; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21193", "description":"RECON MANDIB RAMI OSTEOTOMY; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1725.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918829-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MANDIB RAMI OSTEOTOMY; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21194", "description":"RECON MANDIB RAMI OSTEOTOMY; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1970.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918830-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MANDIB RAMI/BODY SAGIT S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21195", "description":"RECON MANDIB RAMI/BODY SAGIT S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1870.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918831-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MANDIB RAMI/BODY SAGIT S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21196", "description":"RECON MANDIB RAMI/BODY SAGIT S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2027.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918832-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY MANDIB SEGMT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21198", "description":"OSTEOTOMY MANDIB SEGMT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1586.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918833-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21199", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1420.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918834-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY MAXIL SEGMT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21206", "description":"OSTEOTOMY MAXIL SEGMT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1546.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918835-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOPLASTY FACIAL BONES; AUGM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21208", "description":"OSTEOPLASTY FACIAL BONES; AUGM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2226.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918836-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOPLASTY FACIAL BONES; REDU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21209", "description":"OSTEOPLASTY FACIAL BONES; REDU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1097.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918837-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GFT BONE; NASAL/MAXIL/MALAR AR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21210", "description":"GFT BONE; NASAL/MAXIL/MALAR AR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2615.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918838-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GFT BONE; MANDIB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21215", "description":"GFT BONE; MANDIB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4359.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918839-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GFT; RIB CARTILAGE AUTOGEN-FAC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21230", "description":"GFT; RIB CARTILAGE AUTOGEN-FAC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1071.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918840-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GFT; EAR CARTILAGE AUTOGEN NOS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21235", "description":"GFT; EAR CARTILAGE AUTOGEN NOS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":986.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918841-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY TEMPOROMANDIBULAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21240", "description":"ARTHROPLASTY TEMPOROMANDIBULAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1544.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918842-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY TEMPOROMANDIBULAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21242", "description":"ARTHROPLASTY TEMPOROMANDIBULAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1421.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918843-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY TMJ W/PROSTH JT R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21243", "description":"ARTHROPLASTY TMJ W/PROSTH JT R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2312.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918844-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MANDIB EXTRAORAL W/TRANS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21244", "description":"RECON MANDIB EXTRAORAL W/TRANS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1438.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918845-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MANDIB/MAXIL SUBPERIOSTE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21245", "description":"RECON MANDIB/MAXIL SUBPERIOSTE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1553.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918846-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MANDIB/MAXIL SUBPERIOSTE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21246", "description":"RECON MANDIB/MAXIL SUBPERIOSTE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1206.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918847-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MANDIB CONDYLE W/BONE &", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21247", "description":"RECON MANDIB CONDYLE W/BONE &", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2254.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918848-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MANDIB/MAXIL ENDOSTEAL I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21248", "description":"RECON MANDIB/MAXIL ENDOSTEAL I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1438.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918849-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON MANDIB/MAXIL ENDOSTEAL I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21249", "description":"RECON MANDIB/MAXIL ENDOSTEAL I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2017.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918850-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON ZYGOMATIC ARCH/GLENOID F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21255", "description":"RECON ZYGOMATIC ARCH/GLENOID F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1924.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918851-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON ORBIT W/OSTEOTOMIES & W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21256", "description":"RECON ORBIT W/OSTEOTOMIES & W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1601.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918852-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERIORBIT OSTEOTOM-HYPERTELORI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21260", "description":"PERIORBIT OSTEOTOM-HYPERTELORI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1722.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918853-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERIORBIT OSTEOTOMIES W/BONE G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21261", "description":"PERIORBIT OSTEOTOMIES W/BONE G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3053.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918854-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERIORBIT OSTEOTOMIES W/BONE G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21263", "description":"PERIORBIT OSTEOTOMIES W/BONE G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2691.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918855-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ORBIT REPOSIT OSTEOT-UNILAT W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21267", "description":"ORBIT REPOSIT OSTEOT-UNILAT W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2185.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918856-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ORBIT REPOSIT-UNILAT W/GFTS; I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21268", "description":"ORBIT REPOSIT-UNILAT W/GFTS; I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2525.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918857-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MALAR AUGMEN PROSTH MAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21270", "description":"MALAR AUGMEN PROSTH MAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1243.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918858-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SECNDRY REVIS ORBITOCRANIOFACI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21275", "description":"SECNDRY REVIS ORBITOCRANIOFACI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1110.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918859-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MEDIAL CANTHOPEXY (SEPART PROC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21280", "description":"MEDIAL CANTHOPEXY (SEPART PROC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":717.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918860-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAT CANTHOPEXY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21282", "description":"LAT CANTHOPEXY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":477.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918861-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REDUCT MASSETER MUSCL/BONE; EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21295", "description":"REDUCT MASSETER MUSCL/BONE; EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":239.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918862-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REDUCT MASSETER MUSCL/BONE; IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21296", "description":"REDUCT MASSETER MUSCL/BONE; IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":558.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918863-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX NASAL BONE FX WO MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21310", "description":"CLO TX NASAL BONE FX WO MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":156.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918864-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX NASAL BONE FX; WO STABI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21315", "description":"CLO TX NASAL BONE FX; WO STABI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":357.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918865-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX NASAL BONE FX; W/STABIL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21320", "description":"CLO TX NASAL BONE FX; W/STABIL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":342.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918866-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX NASAL FX; UNCOMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21325", "description":"OPEN TX NASAL FX; UNCOMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":676.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918867-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX NASAL FX; COMPLIC-W/IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21330", "description":"OPEN TX NASAL FX; COMPLIC-W/IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":821.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918868-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX NASAL FX; W/CONCOMTANT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21335", "description":"OPEN TX NASAL FX; W/CONCOMTANT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1023.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918869-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX NASAL SEPTAL FX W/WO S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21336", "description":"OPEN TX NASAL SEPTAL FX W/WO S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":895.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918870-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX NASAL SEPTAL FX W/WO ST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21337", "description":"CLO TX NASAL SEPTAL FX W/WO ST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":537.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918871-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX NASOETHMOID FX; WO EXT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21338", "description":"OPEN TX NASOETHMOID FX; WO EXT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1078.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918872-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX NASOETHMOID FX; W/EXT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21339", "description":"OPEN TX NASOETHMOID FX; W/EXT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1164.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918873-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT TX NASOETHMOID FX W/FIX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21340", "description":"PERCUT TX NASOETHMOID FX W/FIX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1098.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918874-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX DEPRESSED FRONTAL SINU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21343", "description":"OPEN TX DEPRESSED FRONTAL SINU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1620.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918875-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX COMPLIC FRONTAL SINUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21344", "description":"OPEN TX COMPLIC FRONTAL SINUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2082.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918876-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX NASOMAXIL FX W/INTERDEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21345", "description":"CLO TX NASOMAXIL FX W/INTERDEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1091.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918877-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX NASOMAXIL FX; W/WIRING", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21346", "description":"OPEN TX NASOMAXIL FX; W/WIRING", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1309.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918878-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX NASOMAXIL FX; REQ MX O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21347", "description":"OPEN TX NASOMAXIL FX; REQ MX O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1570.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918879-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX NASOMAXILLARY COMPLX F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21348", "description":"OPEN TX NASOMAXILLARY COMPLX F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1655.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918880-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT TX FX MALAR AREA INCL Z", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21355", "description":"PERCUT TX FX MALAR AREA INCL Z", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":591.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918881-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX DEPRESSED ZYGOMATIC AR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21356", "description":"OPEN TX DEPRESSED ZYGOMATIC AR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":673.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918882-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX DEPRESS MALAR FX INCL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21360", "description":"OPEN TX DEPRESS MALAR FX INCL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":728.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918883-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX FX MALAR AREA; W/INT F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21365", "description":"OPEN TX FX MALAR AREA; W/INT F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1518.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918884-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX COMPLIC FX MALAR AREA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21366", "description":"OPEN TX COMPLIC FX MALAR AREA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1706.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918885-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX ORBIT 'BLOWOUT' FX; TR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21385", "description":"OPEN TX ORBIT 'BLOWOUT' FX; TR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":984.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918886-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX ORBITAL 'BLOWOUT' FX;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21386", "description":"OPEN TX ORBITAL 'BLOWOUT' FX;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":917.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918887-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX ORBIT FLOOR 'BLOWOUT'", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21387", "description":"OPEN TX ORBIT FLOOR 'BLOWOUT'", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1045.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918888-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX ORBITAL 'BLOWOUT' FX;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21390", "description":"OPEN TX ORBITAL 'BLOWOUT' FX;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1051.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918889-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX ORBITAL 'BLOWOUT' FX;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21395", "description":"OPEN TX ORBITAL 'BLOWOUT' FX;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1334.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918890-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX FX ORBITAL EX 'BLOWOUT'", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21400", "description":"CLO TX FX ORBITAL EX 'BLOWOUT'", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":235.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918891-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX FX ORBITAL EX 'BLOWOUT'", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21401", "description":"CLO TX FX ORBITAL EX 'BLOWOUT'", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":636.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918892-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX FX ORBITAL EX 'BLOWOUT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21406", "description":"OPEN TX FX ORBITAL EX 'BLOWOUT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":745.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918893-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX FX ORBITAL EX 'BLOWOUT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21407", "description":"OPEN TX FX ORBITAL EX 'BLOWOUT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":878.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918894-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX FX ORBITAL EX 'BLOWOUT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21408", "description":"OPEN TX FX ORBITAL EX 'BLOWOUT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1200.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918895-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX PALATAL/MAXIL FX W/INTE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21421", "description":"CLO TX PALATAL/MAXIL FX W/INTE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":962.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918896-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX PALATAL/MAXIL FX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21422", "description":"OPEN TX PALATAL/MAXIL FX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":931.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918897-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX PALATAL/MAXIL FX; COMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21423", "description":"OPEN TX PALATAL/MAXIL FX; COMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1100.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918898-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX CRANIOFAC SEPART USING", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21431", "description":"CLO TX CRANIOFAC SEPART USING", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1024.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918899-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX CRANIOFAC SEPART; W/WI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21432", "description":"OPEN TX CRANIOFAC SEPART; W/WI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":925.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918900-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX CRANIOFAC SEPART; COMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21433", "description":"OPEN TX CRANIOFAC SEPART; COMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2321.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918901-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX CRANIOFAC SEPART; COMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21435", "description":"OPEN TX CRANIOFAC SEPART; COMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1827.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918902-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX CRANIOFAC SEPART; COMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21436", "description":"OPEN TX CRANIOFAC SEPART; COMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2620.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918903-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX MANDIB/MAXIL ALVEOLAR R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21440", "description":"CLO TX MANDIB/MAXIL ALVEOLAR R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":682.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918904-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX MANDIB/MAXIL ALVEOLAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21445", "description":"OPEN TX MANDIB/MAXIL ALVEOLAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":984.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918905-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX MANDIB FX; WO MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21450", "description":"CLO TX MANDIB FX; WO MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":715.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918906-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX MANDIB FX; W/MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21451", "description":"CLO TX MANDIB FX; W/MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":955.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918907-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT TX MANDIB FX W/EXT FIXA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21452", "description":"PERCUT TX MANDIB FX W/EXT FIXA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":851.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918908-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX MANDIB FX W/INTERDENTAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21453", "description":"CLO TX MANDIB FX W/INTERDENTAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1102.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918909-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX MANDIB FX W/EXT FIXA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21454", "description":"OPEN TX MANDIB FX W/EXT FIXA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":758.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918910-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX MANDIB FX; WO INTERDEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21461", "description":"OPEN TX MANDIB FX; WO INTERDEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2416.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918911-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX MANDIB FX; W/INTERDENT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21462", "description":"OPEN TX MANDIB FX; W/INTERDENT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2645.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918912-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX MANDIB CONDYLAR FX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21465", "description":"OPEN TX MANDIB CONDYLAR FX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1259.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918913-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX MANDIB FX-MX APPROACH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21470", "description":"OPEN TX MANDIB FX-MX APPROACH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1632.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918914-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX TEMPOROMANDIBULAR DISLO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21480", "description":"CLO TX TEMPOROMANDIBULAR DISLO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":130.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918915-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX TM DISLOC; COMPLIC INIT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21485", "description":"CLO TX TM DISLOC; COMPLIC INIT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":846.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918916-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX TEMPOROMANDIBULAR DISL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21490", "description":"OPEN TX TEMPOROMANDIBULAR DISL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1264.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918917-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTERDENTAL WIRING-CONDITION O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21497", "description":"INTERDENTAL WIRING-CONDITION O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":849.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918918-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D DEEP ABSCESS/HEMATOMA SOFT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21501", "description":"I&D DEEP ABSCESS/HEMATOMA SOFT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":594.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918919-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D DEEP ABSCESS SOFT TISS NEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21502", "description":"I&D DEEP ABSCESS SOFT TISS NEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":726.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918920-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS DEEP W/OPENING BONE CORTE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21510", "description":"INCS DEEP W/OPENING BONE CORTE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":654.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918921-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX SOFT TISS NECK/THORAX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21550", "description":"BX SOFT TISS NECK/THORAX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":344.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918922-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21552", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918923-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21554", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918924-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR SOFT TISS NECK/THORA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21555", "description":"EXC TUMOR SOFT TISS NECK/THORA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":580.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918925-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR SOFT TISS NECK; DEEP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21556", "description":"EXC TUMOR SOFT TISS NECK; DEEP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":561.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918926-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR SOFT TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21557", "description":"RADICAL RESECT TUMOR SOFT TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":800.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918927-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21558", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918928-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC RIB PART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21600", "description":"EXC RIB PART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":754.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918929-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21601", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918930-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21602", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918931-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21603", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918932-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COSTOTRANSVERSECTOMY (SEPART P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21610", "description":"COSTOTRANSVERSECTOMY (SEPART P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1468.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918933-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC 1ST &/OR CERV RIB;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21615", "description":"EXC 1ST &/OR CERV RIB;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":946.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918934-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC 1ST &/OR CERV RIB; W/SYMPA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21616", "description":"EXC 1ST &/OR CERV RIB; W/SYMPA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1157.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918935-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTECTOMY STERNUM PART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21620", "description":"OSTECTOMY STERNUM PART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":727.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918936-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STERNAL DEBRID", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21627", "description":"STERNAL DEBRID", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":761.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918937-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT STERNUM;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21630", "description":"RADICAL RESECT STERNUM;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1750.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918938-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RAD RESECT STERNUM; W/MEDIASTI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21632", "description":"RAD RESECT STERNUM; W/MEDIASTI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1731.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918939-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21685", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1373.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918940-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIVISION SCALENUS ANTICUS; WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21700", "description":"DIVISION SCALENUS ANTICUS; WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":598.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918941-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIVISION SCALENUS ANTICUS; W/R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21705", "description":"DIVISION SCALENUS ANTICUS; W/R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":864.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918942-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIVIS STERNOCLEIDOMASTOID-TORT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21720", "description":"DIVIS STERNOCLEIDOMASTOID-TORT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":528.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918943-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIVIS STERNOCLEIDOMASTOID-TORT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21725", "description":"DIVIS STERNOCLEIDOMASTOID-TORT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":728.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918944-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON REPR PECTUS EXCAVATUM/CA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21740", "description":"RECON REPR PECTUS EXCAVATUM/CA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1502.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918945-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO STERNOTOMY SEPART W/WO DEB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21750", "description":"CLO STERNOTOMY SEPART W/WO DEB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":996.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918946-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21811", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918947-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21812", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918948-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21813", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918949-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX STERNUM FX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21820", "description":"CLO TX STERNUM FX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":180.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918950-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX STERNUM FX W/WO SKELET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21825", "description":"OPEN TX STERNUM FX W/WO SKELET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":788.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918951-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX SOFT TISS BACK/FLANK; SUPER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21920", "description":"BX SOFT TISS BACK/FLANK; SUPER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":338.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918952-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX SOFT TISS BACK/FLANK; DEEP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21925", "description":"BX SOFT TISS BACK/FLANK; DEEP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":567.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918953-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR SOFT TISS BACK/FLANK", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21930", "description":"EXC TUMOR SOFT TISS BACK/FLANK", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":632.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918954-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21931", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918955-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21932", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918956-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21933", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918957-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR SOFT TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21935", "description":"RADICAL RESECT TUMOR SOFT TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1594.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918958-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"21936", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918959-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22010", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1231.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918960-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22015", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1223.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918961-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC POST VERTEB COMPON-1", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22100", "description":"PART EXC POST VERTEB COMPON-1", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1108.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918962-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC POST VERTEB COMPON-1", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22101", "description":"PART EXC POST VERTEB COMPON-1", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1108.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918963-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC POST VERTEB COMPON-1", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22102", "description":"PART EXC POST VERTEB COMPON-1", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1111.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918964-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC POST VERTEB COMPON; E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22103", "description":"PART EXC POST VERTEB COMPON; E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":202.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918965-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC VERTEB BODY WO DECOMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22110", "description":"PART EXC VERTEB BODY WO DECOMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1366.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918966-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC VERTEB BODY WO DECOMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22112", "description":"PART EXC VERTEB BODY WO DECOMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1361.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918967-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC VERTEB BODY WO DECOMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22114", "description":"PART EXC VERTEB BODY WO DECOMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1364.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918968-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC VERTEB BODY; EA ADD V", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22116", "description":"PART EXC VERTEB BODY; EA ADD V", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":202.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918969-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22206", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3228.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918970-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22207", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3189.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918971-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22208", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":809.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918972-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOT SPINE-POST/POSTLAT APPR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22210", "description":"OSTEOT SPINE-POST/POSTLAT APPR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2407.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918973-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOT SPINE-POST/POSTLAT APPR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22212", "description":"OSTEOT SPINE-POST/POSTLAT APPR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1993.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918974-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOT SPINE-POST/POSTLAT APPR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22214", "description":"OSTEOT SPINE-POST/POSTLAT APPR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2013.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918975-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOT SPINE-POST/POSTLAT APPR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22216", "description":"OSTEOT SPINE-POST/POSTLAT APPR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":527.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918976-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOT SPINE W/DISKECT-ANT APP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22220", "description":"OSTEOT SPINE W/DISKECT-ANT APP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2177.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918977-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOT SPINE W/DISKECT-ANT APP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22222", "description":"OSTEOT SPINE W/DISKECT-ANT APP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1995.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918978-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOT SPINE W/DISKECT-ANT APP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22224", "description":"OSTEOT SPINE W/DISKECT-ANT APP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2156.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918979-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOT SPINE W/DISKECT-ANT APP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22226", "description":"OSTEOT SPINE W/DISKECT-ANT APP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":525.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918980-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX VERTEB BODY FX WO MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22310", "description":"CLO TX VERTEB BODY FX WO MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":382.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918981-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX VERT FX/DISLOC W/CAST/B", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22315", "description":"CLO TX VERT FX/DISLOC W/CAST/B", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1161.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918982-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22318", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2167.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918983-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22319", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2379.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918984-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX VERT FX/DISLOC-VIA POS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22325", "description":"OPEN TX VERT FX/DISLOC-VIA POS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1889.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918985-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX VERT FX/DISLOC-VIA POS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22326", "description":"OPEN TX VERT FX/DISLOC-VIA POS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1979.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918986-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX VERT FX/DISLOC-VIA POS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22327", "description":"OPEN TX VERT FX/DISLOC-VIA POS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1955.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918987-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX VERT FX/DISLOC VIA POS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22328", "description":"OPEN TX VERT FX/DISLOC VIA POS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":397.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918988-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MANIP SPINE REQUIRING ANES ANY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22505", "description":"MANIP SPINE REQUIRING ANES ANY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":172.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918989-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22510", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918990-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22511", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918991-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERTEBROPLASTY ADDL INJECT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22512", "description":"VERTEBROPLASTY ADDL INJECT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918992-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22513", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918993-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22514", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918994-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22515", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918995-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22526", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3043.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918996-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22527", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2496.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918997-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22532", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2363.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918998-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAT LUMBAR SPINE FUSION", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22533", "description":"LAT LUMBAR SPINE FUSION", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2213.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73918999-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAT THOR/LUMB ADDL SEG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22534", "description":"LAT THOR/LUMB ADDL SEG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":519.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919000-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-ANT-C1 C2, W/WO EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22548", "description":"ARTHRODESIS-ANT-C1 C2, W/WO EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2528.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919001-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS, ANTERIOR INTERBOD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22551", "description":"ARTHRODESIS, ANTERIOR INTERBOD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919002-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADDL NECK SPINE FUSION", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22552", "description":"ADDL NECK SPINE FUSION", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919003-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-ANT W/MINI DISKECT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22554", "description":"ARTHRODESIS-ANT W/MINI DISKECT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1764.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919004-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-ANT INTERBODY W/MI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22556", "description":"ARTHRODESIS-ANT INTERBODY W/MI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2266.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919005-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-ANT INTERBODY W/MI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22558", "description":"ARTHRODESIS-ANT INTERBODY W/MI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2074.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919006-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-ANT-W/MINI DISKECT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22585", "description":"ARTHRODESIS-ANT-W/MINI DISKECT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":481.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919007-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22586", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919008-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-POST TECH, CRANIOC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22590", "description":"ARTHRODESIS-POST TECH, CRANIOC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2090.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919009-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-POST TECH, ATLAS-A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22595", "description":"ARTHRODESIS-POST TECH, ATLAS-A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1989.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919010-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-POST/POSTLAT-1 LEV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22600", "description":"ARTHRODESIS-POST/POSTLAT-1 LEV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1702.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919011-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-POST/POSTLAT-1 LEV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22610", "description":"ARTHRODESIS-POST/POSTLAT-1 LEV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1683.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919012-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-POST/POSTLAT-1 LEV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22612", "description":"ARTHRODESIS-POST/POSTLAT-1 LEV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2184.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919013-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-POST/POSTLAT TECH;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22614", "description":"ARTHRODESIS-POST/POSTLAT TECH;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":561.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919014-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-POST INTERBODY-1 I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22630", "description":"ARTHRODESIS-POST INTERBODY-1 I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2097.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919015-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-POST INTERBODY; EA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22632", "description":"ARTHRODESIS-POST INTERBODY; EA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":456.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919016-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LUMBAR SPINE FUSION COMBINED", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22633", "description":"LUMBAR SPINE FUSION COMBINED", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919017-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SPINE FUSION EXTRA SEGMENT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22634", "description":"SPINE FUSION EXTRA SEGMENT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919018-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-POST-W/WO CAST; 6/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22800", "description":"ARTHRODESIS-POST-W/WO CAST; 6/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1859.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919019-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-POST-W/WO CAST; 7", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22802", "description":"ARTHRODESIS-POST-W/WO CAST; 7", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2957.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919020-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-POST-W/WO CAST; 13", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22804", "description":"ARTHRODESIS-POST-W/WO CAST; 13", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3427.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919021-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-ANT-W/WO CAST; 2 T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22808", "description":"ARTHRODESIS-ANT-W/WO CAST; 2 T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2515.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919022-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-ANT-W/WO CAST; 4 T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22810", "description":"ARTHRODESIS-ANT-W/WO CAST; 4 T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2820.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919023-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS-ANT-W/WO CAST; 8/M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22812", "description":"ARTHRODESIS-ANT-W/WO CAST; 8/M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3090.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919024-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22818", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3088.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919025-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22819", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3498.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919026-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR SPINAL FUSION", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22830", "description":"EXPLOR SPINAL FUSION", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1111.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919027-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"POST NON-SEGMT INSTRUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22840", "description":"POST NON-SEGMT INSTRUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1098.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919028-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"POST SEGMT INSTRUM; 3 TO 6 VER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22842", "description":"POST SEGMT INSTRUM; 3 TO 6 VER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1098.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919029-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"POST SEGMT INSTRUM; 7 TO 12 VE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22843", "description":"POST SEGMT INSTRUM; 7 TO 12 VE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1163.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919030-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"POST SEGMT INSTRUM; 13/MORE VE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22844", "description":"POST SEGMT INSTRUM; 13/MORE VE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1432.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919031-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANT INSTRUM; 2 TO 3 VERTEB SEG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22845", "description":"ANT INSTRUM; 2 TO 3 VERTEB SEG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1048.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919032-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANT INSTRUM; 4 TO 7 VERTEB SEG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22846", "description":"ANT INSTRUM; 4 TO 7 VERTEB SEG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1089.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919033-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANT INSTRUM; 8/MORE VERTEB SEG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22847", "description":"ANT INSTRUM; 8/MORE VERTEB SEG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1199.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919034-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PELV FIX OTH THAN SACRUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22848", "description":"PELV FIX OTH THAN SACRUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":521.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919035-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REINSERTION SPINAL FIXA DEVICE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22849", "description":"REINSERTION SPINAL FIXA DEVICE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1793.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919036-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV POST NONSEGMENTAL INSTRU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22850", "description":"REMOV POST NONSEGMENTAL INSTRU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":982.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919037-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV POST SEGMT INSTRUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22852", "description":"REMOV POST SEGMT INSTRUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":939.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919038-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSJ BIOMECHANICAL DEVICE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22853", "description":"INSJ BIOMECHANICAL DEVICE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919039-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSJ BIOMECHANICAL DEVICE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22854", "description":"INSJ BIOMECHANICAL DEVICE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919040-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV ANT INSTRUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22855", "description":"REMOV ANT INSTRUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1515.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919041-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22856", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919042-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LUMBAR ARTIF DISKECTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22857", "description":"LUMBAR ARTIF DISKECTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2423.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919043-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22858", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919044-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSJ BIOMECHANICAL DEVICE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22859", "description":"INSJ BIOMECHANICAL DEVICE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919045-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22861", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919046-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22862", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2857.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919047-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22864", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919048-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22865", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2783.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919049-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22867", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919050-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22868", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919051-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22869", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919052-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22870", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919053-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC ABD WALL TUMOR SUBFASCIAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22900", "description":"EXC ABD WALL TUMOR SUBFASCIAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":551.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919054-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22901", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919055-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22902", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919056-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22903", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919057-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22904", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919058-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"22905", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919059-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV SUBDELTOID CALCAREOUS DE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23000", "description":"REMOV SUBDELTOID CALCAREOUS DE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":730.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919060-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULAR CONTRACTURE RELEASE (", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23020", "description":"CAPSULAR CONTRACTURE RELEASE (", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":954.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919061-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D SHOULDER AREA; DEEP ABSCES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23030", "description":"I&D SHOULDER AREA; DEEP ABSCES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":597.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919062-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D SHOULDER AREA; INFEC BURSA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23031", "description":"I&D SHOULDER AREA; INFEC BURSA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":577.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919063-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS DEEP W/OPEN CORTEX SHOULD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23035", "description":"INCS DEEP W/OPEN CORTEX SHOULD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":960.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919064-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY GLENOHUMERAL JT W/E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23040", "description":"ARTHROTOMY GLENOHUMERAL JT W/E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":994.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919065-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY AC/STERNOCLAV JT W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23044", "description":"ARTHROTOMY AC/STERNOCLAV JT W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":789.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919066-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX SOFT TISS SHOULDER AREA; SU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23065", "description":"BX SOFT TISS SHOULDER AREA; SU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":285.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919067-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX SOFT TISS SHOULDER AREA; DE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23066", "description":"BX SOFT TISS SHOULDER AREA; DE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":691.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919068-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23071", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919069-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23073", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919070-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR SHOULDER AREA; SUBQ", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23075", "description":"EXC TUMOR SHOULDER AREA; SUBQ", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":352.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919071-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR SHOULDER AREA; DEEP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23076", "description":"EXC TUMOR SHOULDER AREA; DEEP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":769.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919072-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR SOFT TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23077", "description":"RADICAL RESECT TUMOR SOFT TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1623.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919073-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23078", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919074-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY W/BX GLENOHUMERAL J", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23100", "description":"ARTHROTOMY W/BX GLENOHUMERAL J", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":670.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919075-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY W/BX/EXC TORN CARTI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23101", "description":"ARTHROTOMY W/BX/EXC TORN CARTI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":620.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919076-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY W/SYNOVECTOMY; GLEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23105", "description":"ARTHROTOMY W/SYNOVECTOMY; GLEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":879.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919077-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY W/SYNOVECTOMY; STER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23106", "description":"ARTHROTOMY W/SYNOVECTOMY; STER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":659.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919078-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY-GLENOHUMERAL JT W/E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23107", "description":"ARTHROTOMY-GLENOHUMERAL JT W/E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":916.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919079-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLAVICULECTOMY; PART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23120", "description":"CLAVICULECTOMY; PART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":775.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919080-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLAVICULECTOMY; TOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23125", "description":"CLAVICULECTOMY; TOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":969.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919081-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ACROMIOPLASTY/ACROMIONECTOMY P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23130", "description":"ACROMIOPLASTY/ACROMIONECTOMY P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":835.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919082-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/BEN TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23140", "description":"EXC/CURET BONE CYST/BEN TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":706.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919083-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/TUMOR CLAV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23145", "description":"EXC/CURET BONE CYST/TUMOR CLAV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":952.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919084-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/TUMOR CLAV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23146", "description":"EXC/CURET BONE CYST/TUMOR CLAV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":850.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919085-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/BEN TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23150", "description":"EXC/CURET BONE CYST/BEN TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":897.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919086-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/TUMOR PROX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23155", "description":"EXC/CURET BONE CYST/TUMOR PROX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1088.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919087-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/TUMOR PROX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23156", "description":"EXC/CURET BONE CYST/TUMOR PROX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":929.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919088-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SEQUESTRECTOMY CLAV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23170", "description":"SEQUESTRECTOMY CLAV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":737.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919089-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SEQUESTRECTOMY SCAPULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23172", "description":"SEQUESTRECTOMY SCAPULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":761.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919090-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SEQUESTRECTOMY HUMERAL HEAD TO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23174", "description":"SEQUESTRECTOMY HUMERAL HEAD TO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1036.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919091-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC BONE CLAV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23180", "description":"PART EXC BONE CLAV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":969.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919092-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC BONE SCAPULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23182", "description":"PART EXC BONE SCAPULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":933.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919093-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC BONE PROX HUMERUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23184", "description":"PART EXC BONE PROX HUMERUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1048.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919094-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTECTOMY SCAPULA PART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23190", "description":"OSTECTOMY SCAPULA PART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":766.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919095-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT HUMERAL HEAD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23195", "description":"RESECT HUMERAL HEAD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1032.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919096-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR; CLAV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23200", "description":"RADICAL RESECT TUMOR; CLAV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1205.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919097-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR; SCAPULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23210", "description":"RADICAL RESECT TUMOR; SCAPULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1262.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919098-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR PROX HUME", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23220", "description":"RADICAL RESECT TUMOR PROX HUME", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1487.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919099-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB SHOULDER; SUBQ", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23330", "description":"REMOV FB SHOULDER; SUBQ", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":311.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919100-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23333", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919101-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23334", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919102-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23335", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919103-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC SHOULDER ARTHROGRAPHY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23350", "description":"INJ PROC SHOULDER ARTHROGRAPHY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":233.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919104-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MUSCL TRANSF ANY TYPE-SHOULDER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23395", "description":"MUSCL TRANSF ANY TYPE-SHOULDER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1778.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919105-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MUSCL TRANSF ANY TYPE-SHOULDER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23397", "description":"MUSCL TRANSF ANY TYPE-SHOULDER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1591.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919106-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SCAPULOPEXY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23400", "description":"SCAPULOPEXY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1353.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919107-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOMYOTOMY SHOULDER AREA; SNG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23405", "description":"TENOMYOTOMY SHOULDER AREA; SNG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":872.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919108-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOMYOTOMY SHOULDER AREA; MX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23406", "description":"TENOMYOTOMY SHOULDER AREA; MX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1091.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919109-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR RUPT MUSCULOTENDINOUS CUF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23410", "description":"REPR RUPT MUSCULOTENDINOUS CUF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1249.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919110-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR RUPT MUSCULOTENDINOUS CUF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23412", "description":"REPR RUPT MUSCULOTENDINOUS CUF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1329.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919111-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORACOACROMIAL LIG RELEASE W/W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23415", "description":"CORACOACROMIAL LIG RELEASE W/W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1023.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919112-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR COMPLT SHOULDER CUFF AVUL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23420", "description":"REPR COMPLT SHOULDER CUFF AVUL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1465.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919113-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENODESIS LONG TENDON BICEPS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23430", "description":"TENODESIS LONG TENDON BICEPS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1029.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919114-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT/TRANSPL LONG TENDON BIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23440", "description":"RESECT/TRANSPL LONG TENDON BIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1062.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919115-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULORRHAPHY ANT; PUTTI-PLAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23450", "description":"CAPSULORRHAPHY ANT; PUTTI-PLAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1331.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919116-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULORRHAPHY ANT; BANKART TY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23455", "description":"CAPSULORRHAPHY ANT; BANKART TY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1416.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919117-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULORRHAPHY ANT ANY TYPE; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23460", "description":"CAPSULORRHAPHY ANT ANY TYPE; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1533.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919118-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULORRHAPHY ANT ANY TYPE; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23462", "description":"CAPSULORRHAPHY ANT ANY TYPE; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1500.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919119-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULORRHAPHY RECUR DISLOC PO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23465", "description":"CAPSULORRHAPHY RECUR DISLOC PO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1560.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919120-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULORRHAPHY W/ANY TYPE MULT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23466", "description":"CAPSULORRHAPHY W/ANY TYPE MULT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1537.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919121-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY W/PROX HUMERAL IM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23470", "description":"ARTHROPLASTY W/PROX HUMERAL IM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1703.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919122-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY W/GLENOID & PROX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23472", "description":"ARTHROPLASTY W/GLENOID & PROX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2100.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919123-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23473", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919124-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23474", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919125-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY CLAV W/WO INT FIXA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23480", "description":"OSTEOTOMY CLAV W/WO INT FIXA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1144.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919126-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY CLAV W/WO INT FIXA;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23485", "description":"OSTEOTOMY CLAV W/WO INT FIXA;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1343.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919127-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROPHYLACTIC TX W/WO METHYLMET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23490", "description":"PROPHYLACTIC TX W/WO METHYLMET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1141.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919128-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROPHYLACTIC TX; PROX HUMERUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23491", "description":"PROPHYLACTIC TX; PROX HUMERUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1419.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919129-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX CLAV FX; WO MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23500", "description":"CLO TX CLAV FX; WO MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":283.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919130-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX CLAV FX; W/MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23505", "description":"CLO TX CLAV FX; W/MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":464.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919131-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX CLAV FX W/WO INT/EXT F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23515", "description":"OPEN TX CLAV FX W/WO INT/EXT F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":946.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919132-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX STERNOCLAVICULAR DISLOC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23520", "description":"CLO TX STERNOCLAVICULAR DISLOC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":293.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919133-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX STERNOCLAVICULAR DISLOC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23525", "description":"CLO TX STERNOCLAVICULAR DISLOC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":462.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919134-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX STERNOCLAVICULAR DISLO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23530", "description":"OPEN TX STERNOCLAVICULAR DISLO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":761.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919135-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX STERNCLAV DISLOC ACUTE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23532", "description":"OPEN TX STERNCLAV DISLOC ACUTE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":856.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919136-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX ACROMIOCLAVICULAR DISLO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23540", "description":"CLO TX ACROMIOCLAVICULAR DISLO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":291.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919137-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX ACROMIOCLAVICULAR DISLO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23545", "description":"CLO TX ACROMIOCLAVICULAR DISLO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":418.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919138-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX ACROMIOCLAV DISLOC ACU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23550", "description":"OPEN TX ACROMIOCLAV DISLOC ACU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":788.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919139-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX AC DISLOC ACUTE/CHRONI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23552", "description":"OPEN TX AC DISLOC ACUTE/CHRONI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":908.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919140-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX SCAPULAR FX; WO MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23570", "description":"CLO TX SCAPULAR FX; WO MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":302.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919141-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX SCAPULAR FX; W/MANIP W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23575", "description":"CLO TX SCAPULAR FX; W/MANIP W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":514.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919142-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX SCAPULAR FX W/WO INT F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23585", "description":"OPEN TX SCAPULAR FX W/WO INT F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1273.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919143-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX PROX HUMERAL FX; WO MAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23600", "description":"CLO TX PROX HUMERAL FX; WO MAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":425.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919144-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX PROX HUMERAL FX; W/MANI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23605", "description":"CLO TX PROX HUMERAL FX; W/MANI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":626.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919145-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX PROX HUMER FX W/WO INT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23615", "description":"OPEN TX PROX HUMER FX W/WO INT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1193.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919146-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX PROX HUMER FX; W/PROX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23616", "description":"OPEN TX PROX HUMER FX; W/PROX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1816.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919147-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX GREATER TUBEROSITY FX;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23620", "description":"CLO TX GREATER TUBEROSITY FX;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":348.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919148-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX GREATER TUBEROSITY FX;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23625", "description":"CLO TX GREATER TUBEROSITY FX;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":507.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919149-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX GREATER TUBEROSITY FX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23630", "description":"OPEN TX GREATER TUBEROSITY FX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1004.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919150-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX SHOULDER DISLOC W/MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23650", "description":"CLO TX SHOULDER DISLOC W/MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":398.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919151-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX SHOULDER DISLOC W/MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23655", "description":"CLO TX SHOULDER DISLOC W/MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":513.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919152-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX ACUTE SHOULDER DISLOC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23660", "description":"OPEN TX ACUTE SHOULDER DISLOC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":798.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919153-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX SHOULDR DISLOC W/FX GR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23665", "description":"CLO TX SHOULDR DISLOC W/FX GR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":561.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919154-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX SHLDR DISLOC W/FX TUBE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23670", "description":"OPEN TX SHLDR DISLOC W/FX TUBE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1122.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919155-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX SHOULDER DISLOC W/SURG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23675", "description":"CLO TX SHOULDER DISLOC W/SURG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":736.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919156-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX SHOULDER DISLOC W/SURG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23680", "description":"OPEN TX SHOULDER DISLOC W/SURG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1229.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919157-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MANIP W/ANES SHLDR JT INCL APP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23700", "description":"MANIP W/ANES SHLDR JT INCL APP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":270.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919158-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS SHOULDER JT; W/WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23800", "description":"ARTHRODESIS SHOULDER JT; W/WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1421.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919159-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS SHOULDER JT; W/PRI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23802", "description":"ARTHRODESIS SHOULDER JT; W/PRI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1686.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919160-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTERTHORACOSCAPULAR AMPUTA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23900", "description":"INTERTHORACOSCAPULAR AMPUTA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1854.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919161-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DISART SHOULDER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23920", "description":"DISART SHOULDER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1499.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919162-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DISART SHOULDER; SECNDRY CLO/S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23921", "description":"DISART SHOULDER; SECNDRY CLO/S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":614.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919163-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D UPPER ARM/ELBOW AREA; DEEP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23930", "description":"I&D UPPER ARM/ELBOW AREA; DEEP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":499.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919164-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D UPPER ARM/ELBOW AREA; INFE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23931", "description":"I&D UPPER ARM/ELBOW AREA; INFE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":402.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919165-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS DEEP W/OPEN BONE CORTEX H", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"23935", "description":"INCS DEEP W/OPEN BONE CORTEX H", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":690.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919166-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY ELBOW-INFEC W/EXPLO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24000", "description":"ARTHROTOMY ELBOW-INFEC W/EXPLO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":647.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919167-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY ELBOW W/CAPSULAR EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24006", "description":"ARTHROTOMY ELBOW W/CAPSULAR EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":982.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919168-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX SOFT TISS UPPER ARM/ELBOW A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24065", "description":"BX SOFT TISS UPPER ARM/ELBOW A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":330.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919169-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX SOFT TISS UPPER ARM/ELBOW A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24066", "description":"BX SOFT TISS UPPER ARM/ELBOW A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":804.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919170-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24071", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919171-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24073", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919172-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR UPPER ARM/ELBOW AREA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24075", "description":"EXC TUMOR UPPER ARM/ELBOW AREA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":649.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919173-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR UPPER ARM/ELBOW; DEE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24076", "description":"EXC TUMOR UPPER ARM/ELBOW; DEE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":646.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919174-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RAD RESECT TUMOR SOFT TISS UP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24077", "description":"RAD RESECT TUMOR SOFT TISS UP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1122.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919175-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24079", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919176-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY ELBOW; W/SYNOVIAL B", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24100", "description":"ARTHROTOMY ELBOW; W/SYNOVIAL B", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":545.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919177-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY ELBOW; W/JT EXPLOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24101", "description":"ARTHROTOMY ELBOW; W/JT EXPLOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":684.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919178-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY ELBOW; W/SYNOVECTOM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24102", "description":"ARTHROTOMY ELBOW; W/SYNOVECTOM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":849.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919179-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC OLECRANON BURSA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24105", "description":"EXC OLECRANON BURSA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":460.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919180-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/BEN TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24110", "description":"EXC/CURET BONE CYST/BEN TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":799.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919181-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/BEN TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24115", "description":"EXC/CURET BONE CYST/BEN TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":929.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919182-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/BEN TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24116", "description":"EXC/CURET BONE CYST/BEN TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1205.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919183-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/BEN TUMOR-", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24120", "description":"EXC/CURET BONE CYST/BEN TUMOR-", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":718.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919184-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST-HEAD/NECK", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24125", "description":"EXC/CURET BONE CYST-HEAD/NECK", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":817.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919185-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST-HEAD/NECK", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24126", "description":"EXC/CURET BONE CYST-HEAD/NECK", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":871.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919186-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC RADIAL HEAD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24130", "description":"EXC RADIAL HEAD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":696.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919187-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SEQUESTRECTOMY SHAFT/DISTAL HU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24134", "description":"SEQUESTRECTOMY SHAFT/DISTAL HU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1053.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919188-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SEQUESTRECTOMY RADIAL HEAD/NEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24136", "description":"SEQUESTRECTOMY RADIAL HEAD/NEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":867.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919189-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SEQUESTRECTOMY OLECRANON PROCE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24138", "description":"SEQUESTRECTOMY OLECRANON PROCE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":905.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919190-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC BONE HUMERUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24140", "description":"PART EXC BONE HUMERUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1009.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919191-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC BONE RADIAL HEAD/NECK", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24145", "description":"PART EXC BONE RADIAL HEAD/NECK", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":851.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919192-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC BONE OLECRANON PROCES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24147", "description":"PART EXC BONE OLECRANON PROCES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":886.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919193-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RAD RESECT CAPSULE-SOFT TISS-B", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24149", "description":"RAD RESECT CAPSULE-SOFT TISS-B", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1581.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919194-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR SHAFT/DIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24150", "description":"RADICAL RESECT TUMOR SHAFT/DIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1349.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919195-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR RADIAL HE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24152", "description":"RADICAL RESECT TUMOR RADIAL HE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1001.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919196-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT ELBOW JT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24155", "description":"RESECT ELBOW JT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1166.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919197-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPLNT REMOV; ELBOW JT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24160", "description":"IMPLNT REMOV; ELBOW JT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":835.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919198-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPLNT REMOV; RADIAL HEAD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24164", "description":"IMPLNT REMOV; RADIAL HEAD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":683.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919199-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB UPPER ARM/ELBOW AREA;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24200", "description":"REMOV FB UPPER ARM/ELBOW AREA;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":279.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919200-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB UPPER ARM/ELBOW AREA;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24201", "description":"REMOV FB UPPER ARM/ELBOW AREA;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":778.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919201-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC ELBOW ARTHROGRAPHY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24220", "description":"INJ PROC ELBOW ARTHROGRAPHY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":253.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919202-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24300", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":542.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919203-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MUSCL/TENDON TRANSF UPPER ARM/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24301", "description":"MUSCL/TENDON TRANSF UPPER ARM/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1040.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919204-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON LENGTHENING UPPER ARM/E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24305", "description":"TENDON LENGTHENING UPPER ARM/E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":799.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919205-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY OPEN ELBOW TO SHOULDE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24310", "description":"TENOTOMY OPEN ELBOW TO SHOULDE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":654.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919206-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOPLASTY W/MUSCL TRANSF W/WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24320", "description":"TENOPLASTY W/MUSCL TRANSF W/WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1057.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919207-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FLEXOR-PLASTY ELBOW", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24330", "description":"FLEXOR-PLASTY ELBOW", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":993.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919208-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FLEXOR-PLASTY ELBOW; W/EXTENSO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24331", "description":"FLEXOR-PLASTY ELBOW; W/EXTENSO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1094.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919209-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24332", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":825.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919210-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENODESIS BICEPS TENDON @ ELBO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24340", "description":"TENODESIS BICEPS TENDON @ ELBO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":848.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919211-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR TENDON/MUSC-UP ARM/ELB-EA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24341", "description":"REPR TENDON/MUSC-UP ARM/ELB-EA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":988.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919212-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REINSRT RUPT BICEPS/TRICEPS DI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24342", "description":"REINSRT RUPT BICEPS/TRICEPS DI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1091.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919213-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24343", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":968.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919214-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24344", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1505.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919215-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24345", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":963.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919216-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24346", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1501.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919217-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24357", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":612.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919218-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24358", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":718.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919219-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24359", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":882.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919220-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY ELBOW; W/MEMBRN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24360", "description":"ARTHROPLASTY ELBOW; W/MEMBRN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1243.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919221-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY ELBOW; W/DISTAL H", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24361", "description":"ARTHROPLASTY ELBOW; W/DISTAL H", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1400.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919222-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY ELBOW; W/IMPLNT &", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24362", "description":"ARTHROPLASTY ELBOW; W/IMPLNT &", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1362.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919223-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY ELBOW; W/'TOTAL E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24363", "description":"ARTHROPLASTY ELBOW; W/'TOTAL E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2057.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919224-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY RADIAL HEAD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24365", "description":"ARTHROPLASTY RADIAL HEAD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":885.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919225-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY RADIAL HEAD; W/IM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24366", "description":"ARTHROPLASTY RADIAL HEAD; W/IM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":949.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919226-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24370", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919227-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24371", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919228-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY HUMERUS W/WO INT FIX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24400", "description":"OSTEOTOMY HUMERUS W/WO INT FIX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1139.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919229-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MX OSTEOTOMIES W/REALIGN INTRA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24410", "description":"MX OSTEOTOMIES W/REALIGN INTRA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1456.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919230-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOPLASTY HUMERUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24420", "description":"OSTEOPLASTY HUMERUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1353.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919231-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NONUNION/MALUNION HUMERUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24430", "description":"REPR NONUNION/MALUNION HUMERUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1433.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919232-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NON-MALUNION HUMERUS; W/I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24435", "description":"REPR NON-MALUNION HUMERUS; W/I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1467.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919233-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HEMIEPIPHYSEAL ARREST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24470", "description":"HEMIEPIPHYSEAL ARREST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":909.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919234-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECOMPRESS FASCIOTOMY FOREARM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24495", "description":"DECOMPRESS FASCIOTOMY FOREARM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":922.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919235-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROPHYLACTIC TX W/WO METHYLMET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24498", "description":"PROPHYLACTIC TX W/WO METHYLMET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1213.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919236-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX HUMERAL SHAFT FX; WO MA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24500", "description":"CLO TX HUMERAL SHAFT FX; WO MA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":461.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919237-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX HUMERAL SHAFT FX; W/MAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24505", "description":"CLO TX HUMERAL SHAFT FX; W/MAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":671.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919238-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX HUMERAL FX W/PLATE/SCR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24515", "description":"OPEN TX HUMERAL FX W/PLATE/SCR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1215.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919239-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX HUMERAL FX W/INSRT IMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24516", "description":"OPEN TX HUMERAL FX W/INSRT IMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1202.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919240-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX SUPRA TRANSCONDYLAR HUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24530", "description":"CLO TX SUPRA TRANSCONDYLAR HUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":496.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919241-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX SUPRACONDYL HUMERAL FX;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24535", "description":"CLO TX SUPRACONDYL HUMERAL FX;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":836.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919242-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT FIXA SUPRACONDYL HUMER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24538", "description":"PERCUT FIXA SUPRACONDYL HUMER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1032.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919243-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX HUMER SUPRACONDYL FX;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24545", "description":"OPEN TX HUMER SUPRACONDYL FX;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1243.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919244-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX HUMER SUPRACONDYL FX;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24546", "description":"OPEN TX HUMER SUPRACONDYL FX;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1476.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919245-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX HUMERAL EPICONDYLAR FX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24560", "description":"CLO TX HUMERAL EPICONDYLAR FX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":416.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919246-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX HUMERAL EPICONDYLAR FX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24565", "description":"CLO TX HUMERAL EPICONDYLAR FX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":696.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919247-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERQ SKELET FIX HUMRL EPICONDY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24566", "description":"PERQ SKELET FIX HUMRL EPICONDY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":951.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919248-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX HUMERAL EPICONDYL FX M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24575", "description":"OPEN TX HUMERAL EPICONDYL FX M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1020.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919249-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX HUMERAL CONDYL FX MED/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24576", "description":"CLO TX HUMERAL CONDYL FX MED/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":438.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919250-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX HUMERAL CONDYL FX MED/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24577", "description":"CLO TX HUMERAL CONDYL FX MED/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":721.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919251-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX HUMER CONDYL FX MED/LA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24579", "description":"OPEN TX HUMER CONDYL FX MED/LA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1154.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919252-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERQ SKELET FIX HUMRL CONDYL F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24582", "description":"PERQ SKELET FIX HUMRL CONDYL F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1079.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919253-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX PERIARTICULAR FX &/OR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24586", "description":"OPEN TX PERIARTICULAR FX &/OR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1524.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919254-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX PERIARTIC FX/DISLOC EL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24587", "description":"OPEN TX PERIARTIC FX/DISLOC EL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1514.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919255-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TX CLO ELBOW DISLOC; WO ANES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24600", "description":"TX CLO ELBOW DISLOC; WO ANES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":497.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919256-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TX CLO ELBOW DISLOC; REQUIRING", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24605", "description":"TX CLO ELBOW DISLOC; REQUIRING", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":622.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919257-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX ACUTE/CHRONIC ELBOW DI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24615", "description":"OPEN TX ACUTE/CHRONIC ELBOW DI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":992.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919258-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX MONTEGGIA TYPE FX DISLO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24620", "description":"CLO TX MONTEGGIA TYPE FX DISLO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":755.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919259-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX MONTEGGIA TYPE FX DISL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24635", "description":"OPEN TX MONTEGGIA TYPE FX DISL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1138.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919260-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX RADIAL HEAD SUBLUXATION", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24640", "description":"CLO TX RADIAL HEAD SUBLUXATION", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":166.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919261-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX RADIAL HEAD/NECK FX; WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24650", "description":"CLO TX RADIAL HEAD/NECK FX; WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":338.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919262-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX RADIAL HEAD/NECK FX; W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24655", "description":"CLO TX RADIAL HEAD/NECK FX; W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":585.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919263-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX RADIAL HEAD/NECK FX W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24665", "description":"OPEN TX RADIAL HEAD/NECK FX W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":894.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919264-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX RADIAL HEAD FX; RAD HE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24666", "description":"OPEN TX RADIAL HEAD FX; RAD HE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1011.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919265-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX ULNAR FX PROX END; WO M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24670", "description":"CLO TX ULNAR FX PROX END; WO M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":379.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919266-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX ULNAR FX PROX END; W/MA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24675", "description":"CLO TX ULNAR FX PROX END; W/MA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":613.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919267-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX ULNAR FX PROX END W/WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24685", "description":"OPEN TX ULNAR FX PROX END W/WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":898.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919268-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS ELBOW JT; W/WO AUT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24800", "description":"ARTHRODESIS ELBOW JT; W/WO AUT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1111.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919269-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS ELBOW JT; W/AUTOGF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24802", "description":"ARTHRODESIS ELBOW JT; W/AUTOGF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1375.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919270-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA ARM THRU HUMERUS; W/PRI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24900", "description":"AMPUTA ARM THRU HUMERUS; W/PRI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":981.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919271-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA ARM THRU HUMERUS; OPEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24920", "description":"AMPUTA ARM THRU HUMERUS; OPEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":968.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919272-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA ARM THRU HUMERUS; SECND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24925", "description":"AMPUTA ARM THRU HUMERUS; SECND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":744.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919273-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA ARM THRU HUMERUS; RE-AM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24930", "description":"AMPUTA ARM THRU HUMERUS; RE-AM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1021.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919274-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA ARM THRU HUMERUS; W/IMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24931", "description":"AMPUTA ARM THRU HUMERUS; W/IMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1093.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919275-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STUMP ELONGATION UPPER EXTREM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"24935", "description":"STUMP ELONGATION UPPER EXTREM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1482.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919276-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON SHEATH INCS; RADIAL STY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25000", "description":"TENDON SHEATH INCS; RADIAL STY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":515.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919277-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25001", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":451.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919278-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECOMP FASCIOT FOREARM/WRIST;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25020", "description":"DECOMP FASCIOT FOREARM/WRIST;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":827.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919279-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECOMP FASCIOT FOREARM; W/DEBR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25023", "description":"DECOMP FASCIOT FOREARM; W/DEBR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1561.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919280-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25024", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1036.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919281-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25025", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1583.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919282-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D FOREARM/WRIST; DEEP ABSCE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25028", "description":"I&D FOREARM/WRIST; DEEP ABSCE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":725.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919283-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D FOREARM &/OR WRIST; INFEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25031", "description":"I&D FOREARM &/OR WRIST; INFEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":574.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919284-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS DEEP W/OPEN BONE CORTEX F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25035", "description":"INCS DEEP W/OPEN BONE CORTEX F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1000.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919285-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY RADIO/MIDCARPAL W/E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25040", "description":"ARTHROTOMY RADIO/MIDCARPAL W/E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":803.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919286-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX SOFT TISS FOREARM &/OR WRIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25065", "description":"BX SOFT TISS FOREARM &/OR WRIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":330.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919287-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX SOFT TISS FOREARM &/OR WRIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25066", "description":"BX SOFT TISS FOREARM &/OR WRIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":559.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919288-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25071", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919289-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25073", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919290-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR FOREARM &/OR WRIST A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25075", "description":"EXC TUMOR FOREARM &/OR WRIST A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":486.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919291-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR FOREARM/WRIST AREA;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25076", "description":"EXC TUMOR FOREARM/WRIST AREA;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":685.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919292-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RAD RESECT TUMOR SOFT TISS FOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25077", "description":"RAD RESECT TUMOR SOFT TISS FOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1106.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919293-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25078", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919294-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULOTOMY WRIST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25085", "description":"CAPSULOTOMY WRIST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":665.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919295-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY WRIST JT; W/BX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25100", "description":"ARTHROTOMY WRIST JT; W/BX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":492.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919296-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY WRIST JT; W/EXPLOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25101", "description":"ARTHROTOMY WRIST JT; W/EXPLOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":575.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919297-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY WRIST JT; W/SYNOVEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25105", "description":"ARTHROTOMY WRIST JT; W/SYNOVEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":701.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919298-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY DISTAL RADIOULNAR J", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25107", "description":"ARTHROTOMY DISTAL RADIOULNAR J", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":855.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919299-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25109", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":700.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919300-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES TENDON SHEATH FOREARM/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25110", "description":"EXC LES TENDON SHEATH FOREARM/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":541.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919301-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC GANGLION WRIST; PRIM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25111", "description":"EXC GANGLION WRIST; PRIM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":442.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919302-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC GANGLION WRIST; RECURRENT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25112", "description":"EXC GANGLION WRIST; RECURRENT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":539.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919303-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RAD EXC BURSA WRIST TENDON SHE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25115", "description":"RAD EXC BURSA WRIST TENDON SHE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1191.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919304-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RAD EXC BURSA WRIST; EXTENSORS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25116", "description":"RAD EXC BURSA WRIST; EXTENSORS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":990.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919305-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SYNOVECTOMY EXTENSOR TENDON SH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25118", "description":"SYNOVECTOMY EXTENSOR TENDON SH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":545.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919306-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SYNOVECTOMY EXTENSOR WRIST SNG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25119", "description":"SYNOVECTOMY EXTENSOR WRIST SNG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":724.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919307-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/BEN TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25120", "description":"EXC/CURET BONE CYST/BEN TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":859.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919308-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/TUMOR RADI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25125", "description":"EXC/CURET BONE CYST/TUMOR RADI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":974.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919309-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/TUMOR RADI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25126", "description":"EXC/CURET BONE CYST/TUMOR RADI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":996.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919310-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/BEN TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25130", "description":"EXC/CURET BONE CYST/BEN TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":633.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919311-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/TUMOR CARP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25135", "description":"EXC/CURET BONE CYST/TUMOR CARP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":787.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919312-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/TUMOR CARP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25136", "description":"EXC/CURET BONE CYST/TUMOR CARP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":696.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919313-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SEQUESTRECTOMY FOREARM &/OR WR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25145", "description":"SEQUESTRECTOMY FOREARM &/OR WR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":877.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919314-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC BONE; ULNA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25150", "description":"PART EXC BONE; ULNA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":825.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919315-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC BONE; RADIUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25151", "description":"PART EXC BONE; RADIUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":975.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919316-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR RADIUS/UL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25170", "description":"RADICAL RESECT TUMOR RADIUS/UL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1318.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919317-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CARPECTOMY; 1 BONE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25210", "description":"CARPECTOMY; 1 BONE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":693.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919318-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CARPECTOMY; ALL BONES PROX ROW", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25215", "description":"CARPECTOMY; ALL BONES PROX ROW", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":897.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919319-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADIAL STYLOIDECTOMY (SEPART P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25230", "description":"RADIAL STYLOIDECTOMY (SEPART P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":617.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919320-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC DISTAL ULNA PART/COMPLT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25240", "description":"EXC DISTAL ULNA PART/COMPLT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":637.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919321-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC WRIST ARTHROGRAPHY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25246", "description":"INJ PROC WRIST ARTHROGRAPHY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":258.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919322-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR W/REMOV DEEP FB FOREARM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25248", "description":"EXPLOR W/REMOV DEEP FB FOREARM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":665.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919323-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV WRIST PROSTH; (SEPART PR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25250", "description":"REMOV WRIST PROSTH; (SEPART PR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":720.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919324-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV WRIST PROSTH; COMPLIC IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25251", "description":"REMOV WRIST PROSTH; COMPLIC IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":986.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919325-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25259", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":541.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919326-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR TENDON/MUSCL-FLEXOR-WRIST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25260", "description":"REPR TENDON/MUSCL-FLEXOR-WRIST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1031.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919327-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR TENDON/MUSCL-FLEXOR-WRIST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25263", "description":"REPR TENDON/MUSCL-FLEXOR-WRIST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1021.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919328-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR TENDON/MUSCL-FLEXOR-WRIST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25265", "description":"REPR TENDON/MUSCL-FLEXOR-WRIST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1201.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919329-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR TENDON/MUSCL-EXTENSOR-WRI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25270", "description":"REPR TENDON/MUSCL-EXTENSOR-WRI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":847.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919330-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR TENDON/MUSCL-EXTENSOR-WRI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25272", "description":"REPR TENDON/MUSCL-EXTENSOR-WRI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":945.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919331-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR TENDON/MUSCL EXTENSOR SEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25274", "description":"REPR TENDON/MUSCL EXTENSOR SEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1096.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919332-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25275", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":924.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919333-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LENGTHEN/SHORTEN FLEX/EXTEN WR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25280", "description":"LENGTHEN/SHORTEN FLEX/EXTEN WR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":951.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919334-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY OPEN FLEX/EXTEN TENDO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25290", "description":"TENOTOMY OPEN FLEX/EXTEN TENDO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":874.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919335-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOLYSIS FLEX/EXTEN-FOREARM/W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25295", "description":"TENOLYSIS FLEX/EXTEN-FOREARM/W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":891.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919336-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENODESIS @ WRIST; FLEXORS FIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25300", "description":"TENODESIS @ WRIST; FLEXORS FIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":955.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919337-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENODESIS @ WRIST; EXTENSORS F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25301", "description":"TENODESIS @ WRIST; EXTENSORS F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":909.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919338-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON TRANSPL/TRANSF FLEX/EXT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25310", "description":"TENDON TRANSPL/TRANSF FLEX/EXT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1030.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919339-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON TRANSPL/TRANSF WRIST SN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25312", "description":"TENDON TRANSPL/TRANSF WRIST SN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1163.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919340-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FLEXOR ORIGIN SLIDE FOREARM &/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25315", "description":"FLEXOR ORIGIN SLIDE FOREARM &/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1240.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919341-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FLEXOR ORIGIN SLIDE WRIST; W/T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25316", "description":"FLEXOR ORIGIN SLIDE WRIST; W/T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1437.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919342-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULOR/RECON WRIST ANY METHO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25320", "description":"CAPSULOR/RECON WRIST ANY METHO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1331.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919343-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY WRIST; W/WO INTER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25332", "description":"ARTHROPLASTY WRIST; W/WO INTER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1170.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919344-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CENTRALIZATION WRIST ULNA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25335", "description":"CENTRALIZATION WRIST ULNA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1351.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919345-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON WRIST-SECNDRY-W/WO OPEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25337", "description":"RECON WRIST-SECNDRY-W/WO OPEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1237.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919346-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY RADIUS; DISTAL THIRD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25350", "description":"OSTEOTOMY RADIUS; DISTAL THIRD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1117.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919347-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY RADIUS; MID/PROX THI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25355", "description":"OSTEOTOMY RADIUS; MID/PROX THI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1234.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919348-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY; ULNA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25360", "description":"OSTEOTOMY; ULNA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1090.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919349-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY; RADIUS & ULNA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25365", "description":"OSTEOTOMY; RADIUS & ULNA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1447.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919350-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MX OSTEOTOMIES W/REALIGN ON RO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25370", "description":"MX OSTEOTOMIES W/REALIGN ON RO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1550.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919351-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MX OSTEOTOMIES W/REALIGN ON RO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25375", "description":"MX OSTEOTOMIES W/REALIGN ON RO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1512.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919352-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOPLASTY RADIUS/ULNA; SHORT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25390", "description":"OSTEOPLASTY RADIUS/ULNA; SHORT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1248.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919353-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOPLASTY RADIUS/ULNA; LENGT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25391", "description":"OSTEOPLASTY RADIUS/ULNA; LENGT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1563.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919354-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOPLASTY RADIUS & ULNA; SHO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25392", "description":"OSTEOPLASTY RADIUS & ULNA; SHO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1564.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919355-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOPLASTY RADIUS & ULNA; LEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25393", "description":"OSTEOPLASTY RADIUS & ULNA; LEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1759.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919356-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25394", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1063.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919357-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NON/MALUNION RADIUS/ULNA;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25400", "description":"REPR NON/MALUNION RADIUS/ULNA;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1308.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919358-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NON/MALUNION RAD/ULNA; W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25405", "description":"REPR NON/MALUNION RAD/ULNA; W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1634.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919359-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NONUNION/MALUNION RADIUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25415", "description":"REPR NONUNION/MALUNION RADIUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1538.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919360-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NON/MALUNION RADIUS & ULN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25420", "description":"REPR NON/MALUNION RADIUS & ULN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1810.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919361-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR DEFECT W/AUTOGFT; RADIUS/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25425", "description":"REPR DEFECT W/AUTOGFT; RADIUS/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1660.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919362-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR DEFECT W/AUTOGFT; RADIUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25426", "description":"REPR DEFECT W/AUTOGFT; RADIUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1706.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919363-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25430", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":971.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919364-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25431", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1092.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919365-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NONUNION SCAPHOID W/WO RA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25440", "description":"REPR NONUNION SCAPHOID W/WO RA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1093.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919366-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY W/PROSTH REPLAC;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25441", "description":"ARTHROPLASTY W/PROSTH REPLAC;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1300.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919367-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY W/PROSTH REPLAC;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25442", "description":"ARTHROPLASTY W/PROSTH REPLAC;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1114.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919368-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY W/PROSTH REPLAC;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25443", "description":"ARTHROPLASTY W/PROSTH REPLAC;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1072.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919369-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY W/PROSTH REPLAC;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25444", "description":"ARTHROPLASTY W/PROSTH REPLAC;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1139.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919370-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY W/PROSTH REPLAC;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25445", "description":"ARTHROPLASTY W/PROSTH REPLAC;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1001.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919371-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY W/PROS REPLAC; DI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25446", "description":"ARTHROPLASTY W/PROS REPLAC; DI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1639.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919372-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTERPOSIT ARTHROPLASTY-INTERC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25447", "description":"INTERPOSIT ARTHROPLASTY-INTERC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1120.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919373-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS ARTHROPLASTY INCL REMOV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25449", "description":"REVIS ARTHROPLASTY INCL REMOV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1437.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919374-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EPIPHYSEAL ARREST-STAPLING; DI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25450", "description":"EPIPHYSEAL ARREST-STAPLING; DI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":878.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919375-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EPIPHYSEAL ARREST-STAPLING; DI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25455", "description":"EPIPHYSEAL ARREST-STAPLING; DI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1056.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919376-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROPHYLACTIC TX W/WO METHYLMET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25490", "description":"PROPHYLACTIC TX W/WO METHYLMET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1149.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919377-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROPHYLACTIC TX W/WO METHYLMET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25491", "description":"PROPHYLACTIC TX W/WO METHYLMET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1205.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919378-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROPHYLACTIC TX W/WO METHYLMET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25492", "description":"PROPHYLACTIC TX W/WO METHYLMET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1428.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919379-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX RADIAL SHAFT FX; WO MAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25500", "description":"CLO TX RADIAL SHAFT FX; WO MAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":344.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919380-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX RADIAL SHAFT FX; W/MANI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25505", "description":"CLO TX RADIAL SHAFT FX; W/MANI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":672.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919381-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX RADIAL SHAFT FX W/WO I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25515", "description":"OPEN TX RADIAL SHAFT FX W/WO I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":921.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919382-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX RADIAL SHAFT FX W/DISLO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25520", "description":"CLO TX RADIAL SHAFT FX W/DISLO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":740.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919383-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX RAD SHAFT FX W/FIXA &", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25525", "description":"OPEN TX RAD SHAFT FX W/FIXA &", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1133.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919384-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX RAD SHAFT FX W/FIX & O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25526", "description":"OPEN TX RAD SHAFT FX W/FIX & O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1411.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919385-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX ULNAR SHAFT FX; WO MANI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25530", "description":"CLO TX ULNAR SHAFT FX; WO MANI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":335.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919386-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX ULNAR SHAFT FX; W/MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25535", "description":"CLO TX ULNAR SHAFT FX; W/MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":644.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919387-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX ULNAR SHAFT FX W/WO IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25545", "description":"OPEN TX ULNAR SHAFT FX W/WO IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":871.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919388-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX RADIAL & ULNAR SHAFT FX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25560", "description":"CLO TX RADIAL & ULNAR SHAFT FX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":349.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919389-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX RADIAL & ULNAR SHAFT FX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25565", "description":"CLO TX RADIAL & ULNAR SHAFT FX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":701.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919390-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX RADIAL & ULNAR SHAFT F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25574", "description":"OPEN TX RADIAL & ULNAR SHAFT F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":901.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919391-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX RAD & ULNA SHAFT FX W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25575", "description":"OPEN TX RAD & ULNA SHAFT FX W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1228.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919392-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX DIST RAD FX W/WO FX ULN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25600", "description":"CLO TX DIST RAD FX W/WO FX ULN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":382.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919393-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX DIST RAD FX W/WO FX ULN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25605", "description":"CLO TX DIST RAD FX W/WO FX ULN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":817.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919394-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25606", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":929.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919395-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25607", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":963.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919396-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25608", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1096.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919397-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25609", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1398.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919398-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX CARPAL SCAPHOID FX; WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25622", "description":"CLO TX CARPAL SCAPHOID FX; WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":392.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919399-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX CARPAL SCAPHOID FX; W/M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25624", "description":"CLO TX CARPAL SCAPHOID FX; W/M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":617.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919400-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX CARPAL SCAPHOID FX W/W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25628", "description":"OPEN TX CARPAL SCAPHOID FX W/W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":981.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919401-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX CARPAL BONE FX; WO MANI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25630", "description":"CLO TX CARPAL BONE FX; WO MANI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":402.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919402-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX CARPAL BONE FX; W/MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25635", "description":"CLO TX CARPAL BONE FX; W/MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":584.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919403-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX CARPAL BONE FX EA BONE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25645", "description":"OPEN TX CARPAL BONE FX EA BONE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":786.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919404-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX ULNAR STYLOID FX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25650", "description":"CLO TX ULNAR STYLOID FX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":417.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919405-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25651", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":641.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919406-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25652", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":846.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919407-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX RADIO-/INTERCARPAL DISL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25660", "description":"CLO TX RADIO-/INTERCARPAL DISL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":540.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919408-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX RADIOCARPAL/INTERCARP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25670", "description":"OPEN TX RADIOCARPAL/INTERCARP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":843.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919409-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25671", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":711.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919410-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX DISTAL RADIOULNAR DISLO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25675", "description":"CLO TX DISTAL RADIOULNAR DISLO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":575.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919411-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX DISTAL RADIOULNAR DISL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25676", "description":"OPEN TX DISTAL RADIOULNAR DISL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":871.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919412-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX TRANS-SCAPHOPERILUNAR F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25680", "description":"CLO TX TRANS-SCAPHOPERILUNAR F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":615.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919413-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX TRANS-SCAPHOPERILUNAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25685", "description":"OPEN TX TRANS-SCAPHOPERILUNAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1006.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919414-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX LUNATE DISLOC W/MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25690", "description":"CLO TX LUNATE DISLOC W/MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":628.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919415-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX LUNATE DISLOC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25695", "description":"OPEN TX LUNATE DISLOC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":874.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919416-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS WRIST JT; WO BONE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25800", "description":"ARTHRODESIS WRIST JT; WO BONE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1046.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919417-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS WRIST JT; W/SLIDIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25805", "description":"ARTHRODESIS WRIST JT; W/SLIDIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1202.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919418-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS WRIST JT; W/ILIAC/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25810", "description":"ARTHRODESIS WRIST JT; W/ILIAC/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1206.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919419-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTERCARPAL FUSION; WO BONE GF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25820", "description":"INTERCARPAL FUSION; WO BONE GF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":856.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919420-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTERCARPAL FUSION; W/AUTOGFT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25825", "description":"INTERCARPAL FUSION; W/AUTOGFT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1046.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919421-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS RADIOULN JT-RESECT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25830", "description":"ARTHRODESIS RADIOULN JT-RESECT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1345.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919422-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA FOREARM THRU RADIUS & U", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25900", "description":"AMPUTA FOREARM THRU RADIUS & U", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1108.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919423-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA FOREARM THRU RADIUS & U", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25905", "description":"AMPUTA FOREARM THRU RADIUS & U", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1086.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919424-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA FOREARM; SECNDRY CLO/SC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25907", "description":"AMPUTA FOREARM; SECNDRY CLO/SC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":970.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919425-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA FOREARM THRU RADIUS & U", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25909", "description":"AMPUTA FOREARM THRU RADIUS & U", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1079.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919426-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"KRUKENBERG PROC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25915", "description":"KRUKENBERG PROC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1751.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919427-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DISART THRU WRIST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25920", "description":"DISART THRU WRIST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":940.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919428-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DISART THRU WRIST; SECNDRY CLO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25922", "description":"DISART THRU WRIST; SECNDRY CLO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":827.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919429-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DISART THRU WRIST; RE-AMPUTA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25924", "description":"DISART THRU WRIST; RE-AMPUTA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":922.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919430-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSMETACARPAL AMPUTA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25927", "description":"TRANSMETACARPAL AMPUTA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1110.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919431-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSMETACARPAL AMPUTA; SECNDR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25929", "description":"TRANSMETACARPAL AMPUTA; SECNDR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":786.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919432-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSMETACARPAL AMPUTA; RE-AMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"25931", "description":"TRANSMETACARPAL AMPUTA; RE-AMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1034.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919433-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE FINGER ABSCESS; SIMPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26010", "description":"DRAINAGE FINGER ABSCESS; SIMPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":366.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919434-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE FINGER ABSCESS; COMPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26011", "description":"DRAINAGE FINGER ABSCESS; COMPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":562.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919435-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE TENDON SHEATH 1 DIGIT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26020", "description":"DRAINAGE TENDON SHEATH 1 DIGIT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":583.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919436-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE PALMAR BURSA; SNGL UL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26025", "description":"DRAINAGE PALMAR BURSA; SNGL UL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":570.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919437-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE PALMAR BURSA; MX/COMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26030", "description":"DRAINAGE PALMAR BURSA; MX/COMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":671.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919438-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS DEEP W/OPEN BONE CORTEX H", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26034", "description":"INCS DEEP W/OPEN BONE CORTEX H", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":727.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919439-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECOMP FINGERS &/OR HAND INJ I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26035", "description":"DECOMP FINGERS &/OR HAND INJ I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1109.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919440-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECOMP FASCIOTOMY HAND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26037", "description":"DECOMP FASCIOTOMY HAND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":781.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919441-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FASCIOTOMY PALMAR DUPUYTREN'S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26040", "description":"FASCIOTOMY PALMAR DUPUYTREN'S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":420.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919442-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FASCIOTOMY PALMAR DUPUYTREN'S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26045", "description":"FASCIOTOMY PALMAR DUPUYTREN'S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":638.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919443-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON SHEATH INCS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26055", "description":"TENDON SHEATH INCS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":846.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919444-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY PERCUT SNGL EA DIGIT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26060", "description":"TENOTOMY PERCUT SNGL EA DIGIT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":357.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919445-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROT W/EXPLOR/DRAIN/REMOV F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26070", "description":"ARTHROT W/EXPLOR/DRAIN/REMOV F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":401.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919446-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROT W/EXPLOR/DRAIN/REMOV F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26075", "description":"ARTHROT W/EXPLOR/DRAIN/REMOV F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":430.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919447-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROT W/EXPLOR/DRAIN/REMOV F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26080", "description":"ARTHROT W/EXPLOR/DRAIN/REMOV F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":521.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919448-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY W/SYNOVIAL BX; CARP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26100", "description":"ARTHROTOMY W/SYNOVIAL BX; CARP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":442.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919449-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY W/SYNOVIAL BX; MCP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26105", "description":"ARTHROTOMY W/SYNOVIAL BX; MCP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":449.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919450-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY W/SYNOVIAL BX; IP J", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26110", "description":"ARTHROTOMY W/SYNOVIAL BX; IP J", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":430.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919451-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26111", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919452-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26113", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919453-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR/VASCUL MALFORM HAND/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26115", "description":"EXC TUMOR/VASCUL MALFORM HAND/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":888.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919454-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR/VASCULAR MALFORM HAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26116", "description":"EXC TUMOR/VASCULAR MALFORM HAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":656.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919455-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR SOFT TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26117", "description":"RADICAL RESECT TUMOR SOFT TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":888.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919456-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26118", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919457-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FASCIECT PALM ONLY W/WO Z-PLAS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26121", "description":"FASCIECT PALM ONLY W/WO Z-PLAS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":820.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919458-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FASCIECT PART PALMAR W/REL 1 D", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26123", "description":"FASCIECT PART PALMAR W/REL 1 D", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1111.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919459-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FASCIECT PART PALM W/REL 1 DIG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26125", "description":"FASCIECT PART PALM W/REL 1 DIG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":396.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919460-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SYNOVECTOMY CARPOMETACARPAL JT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26130", "description":"SYNOVECTOMY CARPOMETACARPAL JT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":622.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919461-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SYNOVECTOMY MCP JT INCL RELEAS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26135", "description":"SYNOVECTOMY MCP JT INCL RELEAS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":757.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919462-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SYNOVECTOMY PROX IP JT INCL RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26140", "description":"SYNOVECTOMY PROX IP JT INCL RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":689.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919463-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SYNOVECTOMY RADICAL FLEXOR PAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26145", "description":"SYNOVECTOMY RADICAL FLEXOR PAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":699.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919464-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES TENDON SHEATH/CAPSULE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26160", "description":"EXC LES TENDON SHEATH/CAPSULE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":817.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919465-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TENDON PALM FLEXOR SNGL (S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26170", "description":"EXC TENDON PALM FLEXOR SNGL (S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":550.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919466-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TENDON FINGER FLEXOR (SEPA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26180", "description":"EXC TENDON FINGER FLEXOR (SEPA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":599.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919467-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SESAMOIDECTOMY THUMB/FINGER (S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26185", "description":"SESAMOIDECTOMY THUMB/FINGER (S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":706.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919468-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/BEN TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26200", "description":"EXC/CURET BONE CYST/BEN TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":615.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919469-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/TUMOR META", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26205", "description":"EXC/CURET BONE CYST/TUMOR META", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":828.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919470-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE/TUMOR PROX/MID/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26210", "description":"EXC/CURET BONE/TUMOR PROX/MID/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":599.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919471-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BONE CYST PROX/MID/DIST PH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26215", "description":"EXC BONE CYST PROX/MID/DIST PH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":759.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919472-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC BONE; METACARPAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26230", "description":"PART EXC BONE; METACARPAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":690.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919473-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC BONE; PROX/MID PHALAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26235", "description":"PART EXC BONE; PROX/MID PHALAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":677.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919474-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC BONE; DISTAL PHALANX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26236", "description":"PART EXC BONE; DISTAL PHALANX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":602.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919475-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR METACARPA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26250", "description":"RADICAL RESECT TUMOR METACARPA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":795.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919476-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR PROX/MID", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26260", "description":"RADICAL RESECT TUMOR PROX/MID", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":751.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919477-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR DISTAL PH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26262", "description":"RADICAL RESECT TUMOR DISTAL PH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":627.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919478-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV IMPLNT FROM FINGER/HAND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26320", "description":"REMOV IMPLNT FROM FINGER/HAND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":469.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919479-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26340", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":426.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919480-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26341", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919481-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FLEXOR TENDON REPR 1; PRIM/SEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26350", "description":"FLEXOR TENDON REPR 1; PRIM/SEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1052.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919482-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FLEX TENDON REPR NOT 'NO MAN'S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26352", "description":"FLEX TENDON REPR NOT 'NO MAN'S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1185.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919483-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FLEXOR TENDON REPR SNGL; PRIM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26356", "description":"FLEXOR TENDON REPR SNGL; PRIM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1511.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919484-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FLEXOR TENDON REPR SNGL; SECND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26357", "description":"FLEXOR TENDON REPR SNGL; SECND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1257.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919485-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FLEX TENDON REPR IN \"NO MAN'S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26358", "description":"FLEX TENDON REPR IN \"NO MAN'S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1336.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919486-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROFUNDUS TENDON REPR W/INTACT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26370", "description":"PROFUNDUS TENDON REPR W/INTACT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1130.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919487-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROFUNDUS TENDON REPR; SECNDRY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26372", "description":"PROFUNDUS TENDON REPR; SECNDRY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1303.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919488-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROFUNDUS TENDON REPR; SECNDRY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26373", "description":"PROFUNDUS TENDON REPR; SECNDRY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1240.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919489-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FLEXOR TENDON EXC-IMPLNT TUBE/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26390", "description":"FLEXOR TENDON EXC-IMPLNT TUBE/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1195.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919490-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV TUBE/ROD & INSRT FLEX TE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26392", "description":"REMOV TUBE/ROD & INSRT FLEX TE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1412.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919491-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTENSOR TENDON REPR-DORSUM HA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26410", "description":"EXTENSOR TENDON REPR-DORSUM HA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":838.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919492-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTENSOR TENDON REPR-DORSUM HA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26412", "description":"EXTENSOR TENDON REPR-DORSUM HA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1004.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919493-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTENSOR TENDON EXC-IMPLNT ROD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26415", "description":"EXTENSOR TENDON EXC-IMPLNT ROD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1037.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919494-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV ROD-INSRT EXTEN TENDON G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26416", "description":"REMOV ROD-INSRT EXTEN TENDON G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1211.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919495-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTENSOR TENDON REPR DORSUM FI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26418", "description":"EXTENSOR TENDON REPR DORSUM FI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":843.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919496-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTENSOR TENDON REPR DORSUM FI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26420", "description":"EXTENSOR TENDON REPR DORSUM FI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1048.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919497-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTENSOR TENDON REPR-CENTRAL S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26426", "description":"EXTENSOR TENDON REPR-CENTRAL S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":891.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919498-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTENSOR TENDON REPR-CENTRAL S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26428", "description":"EXTENSOR TENDON REPR-CENTRAL S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1093.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919499-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTENSOR TENDON REPR-DIST INSR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26432", "description":"EXTENSOR TENDON REPR-DIST INSR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":729.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919500-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTENSOR TENDON REPR-DIST INSR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26433", "description":"EXTENSOR TENDON REPR-DIST INSR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":784.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919501-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTENSOR TENDON REPR-DIST INSR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26434", "description":"EXTENSOR TENDON REPR-DIST INSR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":922.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919502-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTENSOR TENDON REALIGNMENT HA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26437", "description":"EXTENSOR TENDON REALIGNMENT HA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":902.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919503-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOLYSIS FLEXOR; PALM/FINGER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26440", "description":"TENOLYSIS FLEXOR; PALM/FINGER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":927.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919504-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOLYSIS FLEXOR; PALM & FINGE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26442", "description":"TENOLYSIS FLEXOR; PALM & FINGE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1348.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919505-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOLYSIS EXTENSOR DORSUM HAND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26445", "description":"TENOLYSIS EXTENSOR DORSUM HAND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":869.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919506-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOLYSIS COMPLX-EXTENSOR-FING", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26449", "description":"TENOLYSIS COMPLX-EXTENSOR-FING", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1145.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919507-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY FLEXOR SNGL PALM OPEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26450", "description":"TENOTOMY FLEXOR SNGL PALM OPEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":579.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919508-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY FLEXOR SNGL FINGER OP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26455", "description":"TENOTOMY FLEXOR SNGL FINGER OP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":575.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919509-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY EXTENSOR HAND/FINGER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26460", "description":"TENOTOMY EXTENSOR HAND/FINGER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":558.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919510-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENODESIS; PROX IP JT STABILIZ", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26471", "description":"TENODESIS; PROX IP JT STABILIZ", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":888.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919511-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENODESIS; DISTAL JT STABILIZA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26474", "description":"TENODESIS; DISTAL JT STABILIZA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":860.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919512-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON LENGTHENING EXTENSOR HA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26476", "description":"TENDON LENGTHENING EXTENSOR HA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":833.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919513-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON SHORTENING EXTENSOR HAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26477", "description":"TENDON SHORTENING EXTENSOR HAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":843.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919514-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON LENGTHENING FLEXOR HAND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26478", "description":"TENDON LENGTHENING FLEXOR HAND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":908.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919515-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON SHORTENING FLEXOR HAND/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26479", "description":"TENDON SHORTENING FLEXOR HAND/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":897.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919516-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON TRANSF/TRANSPL DORSUM H", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26480", "description":"TENDON TRANSF/TRANSPL DORSUM H", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1107.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919517-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON TRANSF/TRANSPL DORSUM H", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26483", "description":"TENDON TRANSF/TRANSPL DORSUM H", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1231.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919518-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON TRANSF/TRANSPL PALMAR S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26485", "description":"TENDON TRANSF/TRANSPL PALMAR S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1188.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919519-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON TRANSF/TRANSPL PALMAR S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26489", "description":"TENDON TRANSF/TRANSPL PALMAR S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1224.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919520-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPPONENSPLASTY; SUBLIMIS TENDO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26490", "description":"OPPONENSPLASTY; SUBLIMIS TENDO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1121.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919521-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPPONENSPLASTY; TENDON TRANSF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26492", "description":"OPPONENSPLASTY; TENDON TRANSF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1242.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919522-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPPONENSPLASTY; HYPOTHENAR MUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26494", "description":"OPPONENSPLASTY; HYPOTHENAR MUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1141.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919523-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPPONENSPLASTY; OTHER METHD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26496", "description":"OPPONENSPLASTY; OTHER METHD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1225.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919524-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON TRANSF-RESTORE FUNCT; R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26497", "description":"TENDON TRANSF-RESTORE FUNCT; R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1230.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919525-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON TRANSF-RESTORE FUNCT; A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26498", "description":"TENDON TRANSF-RESTORE FUNCT; A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1628.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919526-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORRECT CLAW FINGER OTHER METH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26499", "description":"CORRECT CLAW FINGER OTHER METH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1162.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919527-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON PULLEY RECON; W/LOCAL T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26500", "description":"TENDON PULLEY RECON; W/LOCAL T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":905.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919528-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON PULLEY RECON; W/TENDON/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26502", "description":"TENDON PULLEY RECON; W/TENDON/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1010.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919529-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THENAR MUSCL RELEASE THUMB CON", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26508", "description":"THENAR MUSCL RELEASE THUMB CON", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":919.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919530-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CROSS INTRINSIC TRANSF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26510", "description":"CROSS INTRINSIC TRANSF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":866.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919531-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULODESIS M-P JT STABILIZAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26516", "description":"CAPSULODESIS M-P JT STABILIZAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1016.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919532-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULODESIS M-P JT STABILIZAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26517", "description":"CAPSULODESIS M-P JT STABILIZAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1176.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919533-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULODESIS M-P JT STABILIZAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26518", "description":"CAPSULODESIS M-P JT STABILIZAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1180.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919534-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULECTOMY/CAPSULOTOMY CONTR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26520", "description":"CAPSULECTOMY/CAPSULOTOMY CONTR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":968.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919535-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULECTOMY/CAPSULOTOMY CONTR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26525", "description":"CAPSULECTOMY/CAPSULOTOMY CONTR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":973.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919536-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY MCP JT; SNGL EA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26530", "description":"ARTHROPLASTY MCP JT; SNGL EA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":731.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919537-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY MCP JT; W/PROSTH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26531", "description":"ARTHROPLASTY MCP JT; W/PROSTH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":852.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919538-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY IP JT; SNGL EA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26535", "description":"ARTHROPLASTY IP JT; SNGL EA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":535.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919539-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY IP JT; W/PROSTH I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26536", "description":"ARTHROPLASTY IP JT; W/PROSTH I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":921.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919540-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR COLLATERAL LIGAMNT MCP/IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26540", "description":"REPR COLLATERAL LIGAMNT MCP/IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":955.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919541-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON COLLATERAL LIGAMNT MCP J", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26541", "description":"RECON COLLATERAL LIGAMNT MCP J", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1158.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919542-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON COLLATERAL LIGAMNT MCP J", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26542", "description":"RECON COLLATERAL LIGAMNT MCP J", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":984.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919543-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON COLLATERAL LIG IP JT SNG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26545", "description":"RECON COLLATERAL LIG IP JT SNG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1003.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919544-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NON-UNION METACARP/PHALYN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26546", "description":"REPR NON-UNION METACARP/PHALYN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1375.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919545-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR & RECON FINGER VOLAR PLAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26548", "description":"REPR & RECON FINGER VOLAR PLAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1098.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919546-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"POLLICIZATION A DIGIT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26550", "description":"POLLICIZATION A DIGIT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2165.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919547-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TOE-TO-HAND TRANS W/MICROVASC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26551", "description":"TOE-TO-HAND TRANS W/MICROVASC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4300.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919548-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TOE-TO-HAND TRANS W/MICROVAS A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26553", "description":"TOE-TO-HAND TRANS W/MICROVAS A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4089.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919549-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TOE-TO-HAND TRANS W/MICROVAS A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26554", "description":"TOE-TO-HAND TRANS W/MICROVAS A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":5490.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919550-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"POSIT CHANGE OTHER FINGER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26555", "description":"POSIT CHANGE OTHER FINGER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1921.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919551-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FREE TOE JT TRANS W/MICROVASC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26556", "description":"FREE TOE JT TRANS W/MICROVASC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4214.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919552-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR SYNDACTYLY EA WEB SPACE;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26560", "description":"REPR SYNDACTYLY EA WEB SPACE;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":793.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919553-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR SYNDACTYLY EA WEB SPACE;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26561", "description":"REPR SYNDACTYLY EA WEB SPACE;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1268.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919554-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR SYNDACTYLY EA WEB SPACE;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26562", "description":"REPR SYNDACTYLY EA WEB SPACE;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1704.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919555-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY CORRECT DEFORM; META", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26565", "description":"OSTEOTOMY CORRECT DEFORM; META", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":979.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919556-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY CORRECT DEFORM; PHAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26567", "description":"OSTEOTOMY CORRECT DEFORM; PHAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":982.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919557-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOPLASTY LENGTHENING METACA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26568", "description":"OSTEOPLASTY LENGTHENING METACA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1294.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919558-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR CLEFT HAND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26580", "description":"REPR CLEFT HAND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1799.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919559-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON SUPERNUMERARY DIGIT SOFT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26587", "description":"RECON SUPERNUMERARY DIGIT SOFT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1319.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919560-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR MACRODACTYLIA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26590", "description":"REPR MACRODACTYLIA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1850.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919561-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR INTRINSIC MUSCL HAND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26591", "description":"REPR INTRINSIC MUSCL HAND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":648.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919562-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RELEASE INTRINSIC MUSCL HAND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26593", "description":"RELEASE INTRINSIC MUSCL HAND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":859.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919563-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC CONSTRICTING RING OF FINGE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26596", "description":"EXC CONSTRICTING RING OF FINGE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1003.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919564-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX METACARPAL FX SNGL; WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26600", "description":"CLO TX METACARPAL FX SNGL; WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":357.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919565-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX METACARPAL FX SNGL; W/M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26605", "description":"CLO TX METACARPAL FX SNGL; W/M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":421.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919566-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX METACARPAL FX W/MANIP W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26607", "description":"CLO TX METACARPAL FX W/MANIP W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":642.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919567-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELETAL FIXA METACARPA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26608", "description":"PERCUT SKELETAL FIXA METACARPA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":652.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919568-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX METACARPAL FX SNGL W/W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26615", "description":"OPEN TX METACARPAL FX SNGL W/W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":726.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919569-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX CARPOMETACARPAL DISLOC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26641", "description":"CLO TX CARPOMETACARPAL DISLOC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":475.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919570-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX CARPOMETACARPAL FX DISL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26645", "description":"CLO TX CARPOMETACARPAL FX DISL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":545.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919571-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELETAL FIX FX DISLOC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26650", "description":"PERCUT SKELETAL FIX FX DISLOC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":645.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919572-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX FX DISLOC THUMB W/WO I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26665", "description":"OPEN TX FX DISLOC THUMB W/WO I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":820.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919573-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX DISLOC-NOT THUMB-SNGL W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26670", "description":"CLO TX DISLOC-NOT THUMB-SNGL W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":440.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919574-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX DISLOC-NOT THUMB-SNGL W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26675", "description":"CLO TX DISLOC-NOT THUMB-SNGL W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":588.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919575-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELET FIX DISLOC-NOT T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26676", "description":"PERCUT SKELET FIX DISLOC-NOT T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":685.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919576-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX DISLOC-NOT THUMB; SNGL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26685", "description":"OPEN TX DISLOC-NOT THUMB; SNGL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":757.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919577-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX DISLOC-NOT THUMB; COMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26686", "description":"OPEN TX DISLOC-NOT THUMB; COMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":850.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919578-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX MCP DISLOC SNGL W/MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26700", "description":"CLO TX MCP DISLOC SNGL W/MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":415.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919579-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX MCP DISLOC SNGL W/MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26705", "description":"CLO TX MCP DISLOC SNGL W/MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":541.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919580-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELETAL FIXA MCP DISLO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26706", "description":"PERCUT SKELETAL FIXA MCP DISLO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":588.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919581-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX MCP DISLOC SNGL W/WO I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26715", "description":"OPEN TX MCP DISLOC SNGL W/WO I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":731.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919582-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX PHALANGEAL SHAFT FX PRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26720", "description":"CLO TX PHALANGEAL SHAFT FX PRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":253.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919583-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX PHALANGEALFX PROX/MID;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26725", "description":"CLO TX PHALANGEALFX PROX/MID;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":455.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919584-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT FIXA UNSTABLE FX PROX/M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26727", "description":"PERCUT FIXA UNSTABLE FX PROX/M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":642.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919585-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX PHALANG FX PROX/MID W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26735", "description":"OPEN TX PHALANG FX PROX/MID W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":758.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919586-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX ARTICULR FX INVOLV MCP/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26740", "description":"CLO TX ARTICULR FX INVOLV MCP/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":294.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919587-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX ARTICULAR FX INVOLV MCP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26742", "description":"CLO TX ARTICULAR FX INVOLV MCP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":495.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919588-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX ARTICULR FX INVOLV MCP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26746", "description":"OPEN TX ARTICULR FX INVOLV MCP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":913.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919589-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX DIST PHALANGEAL FX FING", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26750", "description":"CLO TX DIST PHALANGEAL FX FING", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":237.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919590-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX DIST PHALANGEAL FX FING", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26755", "description":"CLO TX DIST PHALANGEAL FX FING", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":417.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919591-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELETAL FIXA DISTAL PH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26756", "description":"PERCUT SKELETAL FIXA DISTAL PH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":569.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919592-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX DIST PHALANGEAL FX W/W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26765", "description":"OPEN TX DIST PHALANGEAL FX W/W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":612.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919593-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX IP JT DISLOC SNGL W/MAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26770", "description":"CLO TX IP JT DISLOC SNGL W/MAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":356.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919594-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX IP JT DISLOC SNGL W/MAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26775", "description":"CLO TX IP JT DISLOC SNGL W/MAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":504.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919595-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELETAL FIXA IP JT DIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26776", "description":"PERCUT SKELETAL FIXA IP JT DIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":605.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919596-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX IP JT DISLOC W/WO INT/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26785", "description":"OPEN TX IP JT DISLOC W/WO INT/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":664.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919597-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FUSION IN OPPOSITION THUMB W/A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26820", "description":"FUSION IN OPPOSITION THUMB W/A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1131.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919598-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS CARPOMETACARPAL JT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26841", "description":"ARTHRODESIS CARPOMETACARPAL JT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1060.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919599-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS JT THUMB W/WO INT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26842", "description":"ARTHRODESIS JT THUMB W/WO INT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1138.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919600-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS CARPOMETACARPAL JT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26843", "description":"ARTHRODESIS CARPOMETACARPAL JT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1052.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919601-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS JT DIGITS NOT THUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26844", "description":"ARTHRODESIS JT DIGITS NOT THUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1169.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919602-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS MCP JT W/WO INT FI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26850", "description":"ARTHRODESIS MCP JT W/WO INT FI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1002.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919603-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS MCP JT W/WO INT FI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26852", "description":"ARTHRODESIS MCP JT W/WO INT FI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1136.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919604-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS IP JT W/WO INT FIX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26860", "description":"ARTHRODESIS IP JT W/WO INT FIX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":818.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919605-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS IP JT W/WO INT FIX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26861", "description":"ARTHRODESIS IP JT W/WO INT FIX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":150.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919606-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS IP JT W/WO INT FIX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26862", "description":"ARTHRODESIS IP JT W/WO INT FIX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1040.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919607-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS IP JT W/WO FIX; W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26863", "description":"ARTHRODESIS IP JT W/WO FIX; W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":336.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919608-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA METACARPAL W/FINGER/THU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26910", "description":"AMPUTA METACARPAL W/FINGER/THU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1011.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919609-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA FINGER ANY JT INCL NEUR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26951", "description":"AMPUTA FINGER ANY JT INCL NEUR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":870.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919610-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA FINGER ANY JT; W/LOCAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26952", "description":"AMPUTA FINGER ANY JT; W/LOCAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":936.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919611-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D PELVIS/HIP JT AREA; DEEP A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26990", "description":"I&D PELVIS/HIP JT AREA; DEEP A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":849.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919612-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D PELVIS/HIP JT AREA; INFEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26991", "description":"I&D PELVIS/HIP JT AREA; INFEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":981.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919613-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS DEEP W/OPEN BONE CORTEX P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"26992", "description":"INCS DEEP W/OPEN BONE CORTEX P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1335.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919614-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY ADDUCTOR HIP SUBQ CLO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27000", "description":"TENOTOMY ADDUCTOR HIP SUBQ CLO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":620.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919615-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY ADDUCTOR HIP SUBQ OPE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27001", "description":"TENOTOMY ADDUCTOR HIP SUBQ OPE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":748.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919616-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY ADDUCT SUBQ OPEN W/OB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27003", "description":"TENOTOMY ADDUCT SUBQ OPEN W/OB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":803.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919617-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY ILIOPSOAS OPEN (SEPAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27005", "description":"TENOTOMY ILIOPSOAS OPEN (SEPAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1007.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919618-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY ABDUCTORS HIP OPEN (S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27006", "description":"TENOTOMY ABDUCTORS HIP OPEN (S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1021.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919619-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FASCIOTOMY HIP/THIGH ANY TYPE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27025", "description":"FASCIOTOMY HIP/THIGH ANY TYPE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1227.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919620-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27027", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919621-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY HIP INFEC W/DRAINAG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27030", "description":"ARTHROTOMY HIP INFEC W/DRAINAG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1315.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919622-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY HIP W/EXPLOR/REMOV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27033", "description":"ARTHROTOMY HIP W/EXPLOR/REMOV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1361.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919623-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HIP JT DENERVATION FEMORAL/OBT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27035", "description":"HIP JT DENERVATION FEMORAL/OBT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1569.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919624-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULEC/CAPSULOT HIP W/WO EXC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27036", "description":"CAPSULEC/CAPSULOT HIP W/WO EXC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1386.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919625-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX SOFT TISS PELVIS & HIP AREA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27040", "description":"BX SOFT TISS PELVIS & HIP AREA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":464.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919626-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX SOFT TISS PELVIS & HIP AREA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27041", "description":"BX SOFT TISS PELVIS & HIP AREA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":943.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919627-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27043", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919628-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27045", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919629-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR PELVIS & HIP AREA; S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27047", "description":"EXC TUMOR PELVIS & HIP AREA; S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":845.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919630-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR PELVIS & HIP AREA; D", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27048", "description":"EXC TUMOR PELVIS & HIP AREA; D", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":648.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919631-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR SOFT TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27049", "description":"RADICAL RESECT TUMOR SOFT TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1366.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919632-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY W/BX; SACROILIAC JT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27050", "description":"ARTHROTOMY W/BX; SACROILIAC JT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":484.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919633-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY W/BX; HIP JT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27052", "description":"ARTHROTOMY W/BX; HIP JT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":760.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919634-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY W/SYNOVECTOMY HIP J", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27054", "description":"ARTHROTOMY W/SYNOVECTOMY HIP J", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":937.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919635-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27057", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919636-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27059", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919637-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC; ISCHIAL BURSA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27060", "description":"EXC; ISCHIAL BURSA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":589.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919638-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC; TROCH BURSA/CALCIFICATION", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27062", "description":"EXC; TROCH BURSA/CALCIFICATION", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":618.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919639-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BONE CYST/BEN TUMOR; SUPER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27065", "description":"EXC BONE CYST/BEN TUMOR; SUPER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":681.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919640-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BONE CYST/BEN TUMOR; DEEP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27066", "description":"EXC BONE CYST/BEN TUMOR; DEEP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1113.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919641-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BONE CYST/TUMOR; W/AUTOGFT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27067", "description":"EXC BONE CYST/TUMOR; W/AUTOGFT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1408.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919642-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC; SUPERF-ILIUM/PUBIS/G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27070", "description":"PART EXC; SUPERF-ILIUM/PUBIS/G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1169.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919643-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC; DEEP-ILIUM/PUBIS/GRT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27071", "description":"PART EXC; DEEP-ILIUM/PUBIS/GRT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1261.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919644-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RAD RESECT TUMOR/INFEC; WING I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27075", "description":"RAD RESECT TUMOR/INFEC; WING I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3192.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919645-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RAD RESECT TUMOR; ILIUM W/ACET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27076", "description":"RAD RESECT TUMOR; ILIUM W/ACET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2220.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919646-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR/INFEC; IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27077", "description":"RADICAL RESECT TUMOR/INFEC; IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3727.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919647-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RAD RESECT TUMOR; ISCHIAL TUBE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27078", "description":"RAD RESECT TUMOR; ISCHIAL TUBE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1399.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919648-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COCCYGECTOMY PRIM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27080", "description":"COCCYGECTOMY PRIM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":668.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919649-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB PELVIS/HIP; SUBQ TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27086", "description":"REMOV FB PELVIS/HIP; SUBQ TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":345.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919650-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB PELVIS/HIP; DEEP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27087", "description":"REMOV FB PELVIS/HIP; DEEP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":870.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919651-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV HIP PROSTH; (SEPART PROC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27090", "description":"REMOV HIP PROSTH; (SEPART PROC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1156.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919652-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV HIP PROSTH; COMPLIC INCL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27091", "description":"REMOV HIP PROSTH; COMPLIC INCL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2207.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919653-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC HIP ARTHROGRAPHY; WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27093", "description":"INJ PROC HIP ARTHROGRAPHY; WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":293.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919654-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC HIP ARTHROGRAPHY; W/A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27095", "description":"INJ PROC HIP ARTHROGRAPHY; W/A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":355.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919655-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27096", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":275.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919656-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HAMSTRING RECESSION PROX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27097", "description":"HAMSTRING RECESSION PROX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":915.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919657-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADDUCTOR TRANSF TO ISCHIUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27098", "description":"ADDUCTOR TRANSF TO ISCHIUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":869.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919658-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSF EXT OBLIQ MUSCL-GR TROC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27100", "description":"TRANSF EXT OBLIQ MUSCL-GR TROC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1130.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919659-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSF PARASPINAL MUSCL TO HIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27105", "description":"TRANSF PARASPINAL MUSCL TO HIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1174.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919660-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSF ILIOPSOAS; TO GREATER T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27110", "description":"TRANSF ILIOPSOAS; TO GREATER T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1309.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919661-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSF ILIOPSOAS; TO FEMORAL N", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27111", "description":"TRANSF ILIOPSOAS; TO FEMORAL N", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1233.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919662-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ACETABULOPLASTY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27120", "description":"ACETABULOPLASTY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1786.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919663-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ACETABULOPLASTY; RESECT FEMORA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27122", "description":"ACETABULOPLASTY; RESECT FEMORA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1538.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919664-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART HIP REPLAC PROSTH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27125", "description":"PART HIP REPLAC PROSTH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1554.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919665-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY ACETABULAR & PROX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27130", "description":"ARTHROPLASTY ACETABULAR & PROX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2005.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919666-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONVERSION PREV HIP TO TOTAL H", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27132", "description":"CONVERSION PREV HIP TO TOTAL H", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2348.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919667-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS TOT HIP ARTHROPLASTY; BO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27134", "description":"REVIS TOT HIP ARTHROPLASTY; BO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2727.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919668-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS TOT HIP ARTHROPLASTY; AC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27137", "description":"REVIS TOT HIP ARTHROPLASTY; AC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2080.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919669-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS TOT HIP ARTHROPLASTY; FE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27138", "description":"REVIS TOT HIP ARTHROPLASTY; FE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2164.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919670-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY & TRANSF GREATER TRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27140", "description":"OSTEOTOMY & TRANSF GREATER TRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1252.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919671-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY ILIAC/ACETABULAR/INN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27146", "description":"OSTEOTOMY ILIAC/ACETABULAR/INN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1766.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919672-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY ILIAC/ACETAB/INNOMIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27147", "description":"OSTEOTOMY ILIAC/ACETAB/INNOMIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2028.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919673-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY ILIAC/ACETAB/INNOMIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27151", "description":"OSTEOTOMY ILIAC/ACETAB/INNOMIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2023.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919674-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY ILIAC; W/FEM OSTEOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27156", "description":"OSTEOTOMY ILIAC; W/FEM OSTEOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2404.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919675-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY PELVIS BILAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27158", "description":"OSTEOTOMY PELVIS BILAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1881.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919676-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY FEMORAL NECK (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27161", "description":"OSTEOTOMY FEMORAL NECK (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1703.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919677-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY INTER-/SUBTROCH INCL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27165", "description":"OSTEOTOMY INTER-/SUBTROCH INCL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1891.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919678-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BONE GFT FEM HEAD/NECK/INTER-S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27170", "description":"BONE GFT FEM HEAD/NECK/INTER-S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1643.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919679-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TX SLIPPED FEMORAL EPIPHYSIS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27175", "description":"TX SLIPPED FEMORAL EPIPHYSIS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":891.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919680-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TX SLIPPED FEMORAL EPIPHYSIS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27176", "description":"TX SLIPPED FEMORAL EPIPHYSIS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1260.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919681-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX SLIP'D FEM EPIPHYS; SN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27177", "description":"OPEN TX SLIP'D FEM EPIPHYS; SN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1539.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919682-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX SLIP'D FEM EPIPHYS; CL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27178", "description":"OPEN TX SLIP'D FEM EPIPHYS; CL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1231.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919683-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX SLIP'D FEM EPIPHYS; OS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27179", "description":"OPEN TX SLIP'D FEM EPIPHYS; OS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1357.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919684-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX SLIP'D FEM EPIPHYS; OS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27181", "description":"OPEN TX SLIP'D FEM EPIPHYS; OS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1485.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919685-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EPIPHYSEAL ARREST-EPIPHYSIODES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27185", "description":"EPIPHYSEAL ARREST-EPIPHYSIODES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1012.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919686-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROPHYLACTIC TX FEMORAL NECK &", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27187", "description":"PROPHYLACTIC TX FEMORAL NECK &", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1387.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919687-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27197", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919688-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27198", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919689-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX COCCYGEAL FX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27200", "description":"CLO TX COCCYGEAL FX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":234.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919690-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX COCCYGEAL FX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27202", "description":"OPEN TX COCCYGEAL FX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1051.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919691-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX ILIAC SPINE/WING FX W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27215", "description":"OPEN TX ILIAC SPINE/WING FX W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1024.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919692-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELETAL FIX POST PELVI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27216", "description":"PERCUT SKELETAL FIX POST PELVI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1477.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919693-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX ANT RING FX &/OR DISLO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27217", "description":"OPEN TX ANT RING FX &/OR DISLO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1412.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919694-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX POST RING FX &/OR DISL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27218", "description":"OPEN TX POST RING FX &/OR DISL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1901.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919695-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX ACETABULUM FX; WO MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27220", "description":"CLO TX ACETABULUM FX; WO MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":714.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919696-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX ACETAB FX; W/MANIP W/WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27222", "description":"CLO TX ACETAB FX; W/MANIP W/WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1360.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919697-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX POST/ANT ACETABULAR WA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27226", "description":"OPEN TX POST/ANT ACETABULAR WA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1400.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919698-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX ACETAB FX INVOL ANT/PO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27227", "description":"OPEN TX ACETAB FX INVOL ANT/PO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2325.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919699-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX ACETAB FX W/T-FX W/INT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27228", "description":"OPEN TX ACETAB FX W/T-FX W/INT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2664.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919700-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX FEMORAL FX PROX END NEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27230", "description":"CLO TX FEMORAL FX PROX END NEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":640.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919701-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX FEM FX PROX END NECK; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27232", "description":"CLO TX FEM FX PROX END NECK; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1074.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919702-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELET FIX FEM FX PROX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27235", "description":"PERCUT SKELET FIX FEM FX PROX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1268.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919703-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX FEM FX PROX END NECK I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27236", "description":"OPEN TX FEM FX PROX END NECK I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1642.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919704-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX INTER-/PER-/SUBTROCH FE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27238", "description":"CLO TX INTER-/PER-/SUBTROCH FE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":616.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919705-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX INTER/PER/SUB-TROCHANTE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27240", "description":"CLO TX INTER/PER/SUB-TROCHANTE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1318.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919706-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX INTERTROCH FEM FX; W/I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27244", "description":"OPEN TX INTERTROCH FEM FX; W/I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1617.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919707-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX INTERTROCH FEM FX; W/I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27245", "description":"OPEN TX INTERTROCH FEM FX; W/I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1979.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919708-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX GREATER TROCH FX WO MAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27246", "description":"CLO TX GREATER TROCH FX WO MAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":523.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919709-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX GREATER TROCH FX W/WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27248", "description":"OPEN TX GREATER TROCH FX W/WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1056.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919710-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX HIP DISLOC TRAUMATIC; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27250", "description":"CLO TX HIP DISLOC TRAUMATIC; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":664.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919711-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX HIP DISLOC TRAUMATIC; R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27252", "description":"CLO TX HIP DISLOC TRAUMATIC; R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1045.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919712-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX HIP DISLOC TRAUMATIC W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27253", "description":"OPEN TX HIP DISLOC TRAUMATIC W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1318.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919713-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX HIP DISLOC TRAUMA W/AC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27254", "description":"OPEN TX HIP DISLOC TRAUMA W/AC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1772.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919714-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TX SPONTAN HIP DISLOC-ABDUCTIO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27256", "description":"TX SPONTAN HIP DISLOC-ABDUCTIO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":417.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919715-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TX SPONTAN HIP DISLOC-ABDUCT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27257", "description":"TX SPONTAN HIP DISLOC-ABDUCT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":466.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919716-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX SPONTAN HIP DISLOC REP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27258", "description":"OPEN TX SPONTAN HIP DISLOC REP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1540.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919717-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX SPONTAN HIP DISLOC; W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27259", "description":"OPEN TX SPONTAN HIP DISLOC; W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2142.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919718-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX POST HIP ARTHROPLASTY D", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27265", "description":"CLO TX POST HIP ARTHROPLASTY D", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":548.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919719-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX HIP ARTHROPLSTY DISLOC;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27266", "description":"CLO TX HIP ARTHROPLSTY DISLOC;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":798.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919720-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27267", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":574.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919721-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27268", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":706.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919722-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27269", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1679.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919723-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MANIP HIP JT REQUIRING GEN ANE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27275", "description":"MANIP HIP JT REQUIRING GEN ANE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":250.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919724-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27279", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919725-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS SACROILIAC JT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27280", "description":"ARTHRODESIS SACROILIAC JT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1419.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919726-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS SYMPHYSIS PUBIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27282", "description":"ARTHRODESIS SYMPHYSIS PUBIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1148.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919727-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS HIP JT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27284", "description":"ARTHRODESIS HIP JT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2247.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919728-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS HIP JT; W/SUBTROCH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27286", "description":"ARTHRODESIS HIP JT; W/SUBTROCH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2267.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919729-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTERPELVIABDOMINAL AMPUTA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27290", "description":"INTERPELVIABDOMINAL AMPUTA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2183.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919730-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIASART HIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27295", "description":"DIASART HIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1755.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919731-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D DEEP ABSCESS INFEC BURSA/H", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27301", "description":"I&D DEEP ABSCESS INFEC BURSA/H", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":919.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919732-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS DEEP W/OPEN BONE CORTEX/F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27303", "description":"INCS DEEP W/OPEN BONE CORTEX/F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":881.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919733-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FASCIOTOMY ILIOTIBIAL OPEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27305", "description":"FASCIOTOMY ILIOTIBIAL OPEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":646.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919734-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY SUBQ CLO ADDUCTOR (SE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27306", "description":"TENOTOMY SUBQ CLO ADDUCTOR (SE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":533.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919735-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY SUBQ CLO ADDUCTOR (SE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27307", "description":"TENOTOMY SUBQ CLO ADDUCTOR (SE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":648.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919736-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY KNEE-INFEC W/EXPLOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27310", "description":"ARTHROTOMY KNEE-INFEC W/EXPLOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1000.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919737-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX SOFT TISS THIGH/KNEE AREA;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27323", "description":"BX SOFT TISS THIGH/KNEE AREA;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":353.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919738-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX SOFT TISS THIGH/KNEE AREA;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27324", "description":"BX SOFT TISS THIGH/KNEE AREA;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":522.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919739-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27325", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":705.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919740-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27326", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":677.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919741-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR THIGH/KNEE AREA; SUB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27327", "description":"EXC TUMOR THIGH/KNEE AREA; SUB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":611.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919742-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR THIGH/KNEE; DEEP/SUB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27328", "description":"EXC TUMOR THIGH/KNEE; DEEP/SUB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":574.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919743-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR SOFT TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27329", "description":"RADICAL RESECT TUMOR SOFT TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1420.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919744-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY KNEE; W/SYNOVIAL BX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27330", "description":"ARTHROTOMY KNEE; W/SYNOVIAL BX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":554.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919745-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY KNEE; W/JT EXPLOR W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27331", "description":"ARTHROTOMY KNEE; W/JT EXPLOR W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":651.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919746-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY KNEE W/MENISECTOMY;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27332", "description":"ARTHROTOMY KNEE W/MENISECTOMY;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":879.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919747-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY KNEE W/MENISECTOMY;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27333", "description":"ARTHROTOMY KNEE W/MENISECTOMY;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":798.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919748-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY KNEE W/SYNOVECTOMY;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27334", "description":"ARTHROTOMY KNEE W/SYNOVECTOMY;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":938.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919749-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY KNEE W/SYNOVEC; ANT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27335", "description":"ARTHROTOMY KNEE W/SYNOVEC; ANT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1060.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919750-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27337", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919751-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27339", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919752-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC PREPATELLAR BURSA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27340", "description":"EXC PREPATELLAR BURSA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":500.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919753-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC SYNOVIAL CYST POP SPACE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27345", "description":"EXC SYNOVIAL CYST POP SPACE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":659.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919754-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27347", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":694.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919755-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PATELLECTOMY/HEMIPATELLECTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27350", "description":"PATELLECTOMY/HEMIPATELLECTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":896.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919756-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/BEN TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27355", "description":"EXC/CURET BONE CYST/BEN TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":832.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919757-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/BEN TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27356", "description":"EXC/CURET BONE CYST/BEN TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1016.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919758-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/BEN TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27357", "description":"EXC/CURET BONE CYST/BEN TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1126.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919759-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/BEN TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27358", "description":"EXC/CURET BONE CYST/BEN TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":408.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919760-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC BONE FEMUR PROX TIBIA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27360", "description":"PART EXC BONE FEMUR PROX TIBIA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1180.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919761-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27364", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919762-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR BONE FEMU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27365", "description":"RADICAL RESECT TUMOR BONE FEMU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1697.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919763-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27369", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919764-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB DEEP THIGH REGION/KNE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27372", "description":"REMOV FB DEEP THIGH REGION/KNE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":831.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919765-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE INFRAPATELLAR TENDON; P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27380", "description":"SUTURE INFRAPATELLAR TENDON; P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":821.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919766-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE INFRAPATELLAR TENDON; 2", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27381", "description":"SUTURE INFRAPATELLAR TENDON; 2", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1113.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919767-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE QUADRICEPS/HAMSTRING MU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27385", "description":"SUTURE QUADRICEPS/HAMSTRING MU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":878.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919768-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE QUADRICEPS MUSCL RUPT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27386", "description":"SUTURE QUADRICEPS MUSCL RUPT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1157.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919769-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY OPEN HAMSTRING KNEE T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27390", "description":"TENOTOMY OPEN HAMSTRING KNEE T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":599.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919770-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY OPEN HAMSTRING KNEE T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27391", "description":"TENOTOMY OPEN HAMSTRING KNEE T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":788.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919771-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY OPEN HAMSTRING KNEE T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27392", "description":"TENOTOMY OPEN HAMSTRING KNEE T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":975.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919772-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LENGTHENING HAMSTRING TENDON;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27393", "description":"LENGTHENING HAMSTRING TENDON;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":698.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919773-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LENGTHENING HAMSTRING TENDON;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27394", "description":"LENGTHENING HAMSTRING TENDON;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":902.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919774-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LENGTHENING HAMSTRING TENDON;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27395", "description":"LENGTHENING HAMSTRING TENDON;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1218.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919775-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSPL HAMSTRING TENDON TO PA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27396", "description":"TRANSPL HAMSTRING TENDON TO PA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":848.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919776-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSPL HAMSTRING TENDON TO PA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27397", "description":"TRANSPL HAMSTRING TENDON TO PA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1233.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919777-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENDON/MUSCL TRANSF HAMSTRINGS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27400", "description":"TENDON/MUSCL TRANSF HAMSTRINGS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":935.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919778-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY W/OPEN MENISCUS REP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27403", "description":"ARTHROTOMY W/OPEN MENISCUS REP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":888.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919779-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR PRIM TORN LIGAMNT/CAPSULE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27405", "description":"REPR PRIM TORN LIGAMNT/CAPSULE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":933.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919780-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR PRIM TORN LIGAMNT/CAPSULE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27407", "description":"REPR PRIM TORN LIGAMNT/CAPSULE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1074.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919781-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR PRIM TORN LIGAM KNEE; COL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27409", "description":"REPR PRIM TORN LIGAM KNEE; COL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1332.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919782-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27412", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2291.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919783-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27415", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1919.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919784-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27416", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1316.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919785-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANT TIBIAL TUBERCLEPLASTY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27418", "description":"ANT TIBIAL TUBERCLEPLASTY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1156.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919786-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON RECURRENT DISLOC PATELLA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27420", "description":"RECON RECURRENT DISLOC PATELLA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1037.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919787-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON RECURRENT DISLOC PATELLA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27422", "description":"RECON RECURRENT DISLOC PATELLA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1033.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919788-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON RECURRENT DISLOC PATELLA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27424", "description":"RECON RECURRENT DISLOC PATELLA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1035.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919789-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAT RETINACULAR RELEASE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27425", "description":"LAT RETINACULAR RELEASE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":610.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919790-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIGAMNT RECON KNEE; EXTRA-ARTI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27427", "description":"LIGAMNT RECON KNEE; EXTRA-ARTI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":994.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919791-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIGAMNT RECON KNEE; INTRA-ARTI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27428", "description":"LIGAMNT RECON KNEE; INTRA-ARTI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1521.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919792-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIGAMNT RECON KNEE; INTRA & EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27429", "description":"LIGAMNT RECON KNEE; INTRA & EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1702.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919793-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"QUADRICEPSPLASTY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27430", "description":"QUADRICEPSPLASTY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1026.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919794-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULOTOMY KNEE POST CAPSULAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27435", "description":"CAPSULOTOMY KNEE POST CAPSULAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1095.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919795-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY PATELLA; WO PROST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27437", "description":"ARTHROPLASTY PATELLA; WO PROST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":913.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919796-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY PATELLA; W/PROSTH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27438", "description":"ARTHROPLASTY PATELLA; W/PROSTH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1162.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919797-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY KNEE TIBIAL PLATE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27440", "description":"ARTHROPLASTY KNEE TIBIAL PLATE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1027.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919798-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY KNEE TIB PLATEAU;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27441", "description":"ARTHROPLASTY KNEE TIB PLATEAU;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1085.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919799-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY KNEE FEMORAL COND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27442", "description":"ARTHROPLASTY KNEE FEMORAL COND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1208.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919800-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY KNEE FEM CONDYLES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27443", "description":"ARTHROPLASTY KNEE FEM CONDYLES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1136.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919801-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY KNEE CONSTRAINED", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27445", "description":"ARTHROPLASTY KNEE CONSTRAINED", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1759.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919802-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY KNEE CONDYLE & PL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27446", "description":"ARTHROPLASTY KNEE CONDYLE & PL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1564.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919803-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY KNEE CONDYLE & PL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27447", "description":"ARTHROPLASTY KNEE CONDYLE & PL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2154.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919804-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY FEMUR SHAFT/SUPRACON", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27448", "description":"OSTEOTOMY FEMUR SHAFT/SUPRACON", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1143.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919805-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY FEMUR SHAFT/SUPRACON", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27450", "description":"OSTEOTOMY FEMUR SHAFT/SUPRACON", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1421.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919806-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY MX FEM SHAFT W/REALI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27454", "description":"OSTEOTOMY MX FEM SHAFT W/REALI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1797.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919807-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY PROX TIBIA; BEFORE E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27455", "description":"OSTEOTOMY PROX TIBIA; BEFORE E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1313.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919808-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY PROX TIBIA; AFTER EP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27457", "description":"OSTEOTOMY PROX TIBIA; AFTER EP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1352.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919809-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOPLASTY FEMUR; SHORTENING", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27465", "description":"OSTEOPLASTY FEMUR; SHORTENING", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1668.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919810-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOPLASTY FEMUR; LENGTHENING", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27466", "description":"OSTEOPLASTY FEMUR; LENGTHENING", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1647.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919811-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOPLASTY FEMUR; COMBO LENGT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27468", "description":"OSTEOPLASTY FEMUR; COMBO LENGT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1858.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919812-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NON-MALUNION FEMUR DISTAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27470", "description":"REPR NON-MALUNION FEMUR DISTAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1641.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919813-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NON-/MALUNION FEMUR; W/IL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27472", "description":"REPR NON-/MALUNION FEMUR; W/IL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1777.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919814-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EPIPHYSEAL ARREST BY STAPLING;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27475", "description":"EPIPHYSEAL ARREST BY STAPLING;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":907.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919815-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EPIPHYSEAL ARREST BY STAPLING;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27477", "description":"EPIPHYSEAL ARREST BY STAPLING;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1012.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919816-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EPIPHYSEAL ARREST; COMBO DIST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27479", "description":"EPIPHYSEAL ARREST; COMBO DIST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1332.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919817-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARREST HEMIEPIPHYSEAL DISTAL F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27485", "description":"ARREST HEMIEPIPHYSEAL DISTAL F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":930.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919818-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS TOT KNEE ARTHROPL W/WO A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27486", "description":"REVIS TOT KNEE ARTHROPL W/WO A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1965.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919819-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS TOT KNEE ARTHROPL W/WO A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27487", "description":"REVIS TOT KNEE ARTHROPL W/WO A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2479.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919820-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV KNEE PROSTH INCL 'TOT KN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27488", "description":"REMOV KNEE PROSTH INCL 'TOT KN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1662.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919821-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROPHYLACTIC TX W/WO METHYLMET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27495", "description":"PROPHYLACTIC TX W/WO METHYLMET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1581.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919822-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECOMP FASCIOTOMY THIGH &/OR K", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27496", "description":"DECOMP FASCIOTOMY THIGH &/OR K", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":696.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919823-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECOMP FASCIOT THIGH/KNEE 1 CO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27497", "description":"DECOMP FASCIOT THIGH/KNEE 1 CO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":753.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919824-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECOMP FASCIOTOMY THIGH &/OR K", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27498", "description":"DECOMP FASCIOTOMY THIGH &/OR K", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":822.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919825-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECOMP FASCIOT THIGH/KNEE MX C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27499", "description":"DECOMP FASCIOT THIGH/KNEE MX C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":920.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919826-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX FEMORAL SHAFT FX WO MAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27500", "description":"CLO TX FEMORAL SHAFT FX WO MAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":699.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919827-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX SUPRA-/TRANSCONDYLAR FE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27501", "description":"CLO TX SUPRA-/TRANSCONDYLAR FE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":687.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919828-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX FEMORAL SHAFT FX W/MANI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27502", "description":"CLO TX FEMORAL SHAFT FX W/MANI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1097.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919829-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX SUPRA/TRANSCONDYLAR FEM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27503", "description":"CLO TX SUPRA/TRANSCONDYLAR FEM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1108.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919830-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX FEM SHFT FX W/WO FIX W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27506", "description":"OPEN TX FEM SHFT FX W/WO FIX W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1845.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919831-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX FEM SHAFT FX W/PLATE/S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27507", "description":"OPEN TX FEM SHAFT FX W/PLATE/S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1375.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919832-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX FEM FX DIST END MED/LAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27508", "description":"CLO TX FEM FX DIST END MED/LAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":710.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919833-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELET FIX FEM FX DISTA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27509", "description":"PERCUT SKELET FIX FEM FX DISTA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":894.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919834-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX FEM FX DIST END MED/LAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27510", "description":"CLO TX FEM FX DIST END MED/LAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":964.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919835-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX FEM SUPRACONDYL FX WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27511", "description":"OPEN TX FEM SUPRACONDYL FX WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1443.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919836-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX FEM SUPRACONDYL FX W/I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27513", "description":"OPEN TX FEM SUPRACONDYL FX W/I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1817.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919837-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX FEM FX DIST END MED/LA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27514", "description":"OPEN TX FEM FX DIST END MED/LA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1495.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919838-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX DIST FEMORAL EPIPHYSEAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27516", "description":"CLO TX DIST FEMORAL EPIPHYSEAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":667.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919839-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX FEM EPIPHYSEAL SEPART;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27517", "description":"CLO TX FEM EPIPHYSEAL SEPART;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":924.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919840-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX DIST FEMORAL EPIPHYSEA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27519", "description":"OPEN TX DIST FEMORAL EPIPHYSEA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1340.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919841-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX PATELLAR FX WO MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27520", "description":"CLO TX PATELLAR FX WO MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":421.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919842-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX PATELLA FX W/FIX PART/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27524", "description":"OPEN TX PATELLA FX W/FIX PART/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1049.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919843-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX TIBIAL FX PROX; WO MANI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27530", "description":"CLO TX TIBIAL FX PROX; WO MANI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":527.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919844-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX TIB FX PROX; W/WO MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27532", "description":"CLO TX TIB FX PROX; W/WO MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":838.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919845-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX TIB FX PROX; UNICONDYL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27535", "description":"OPEN TX TIB FX PROX; UNICONDYL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1289.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919846-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX TIBIAL FX PROX; BICOND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27536", "description":"OPEN TX TIBIAL FX PROX; BICOND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1647.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919847-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX INTERCOND SPINE/TUBEROS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27538", "description":"CLO TX INTERCOND SPINE/TUBEROS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":630.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919848-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX INTERCOND SPINE/TUBERO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27540", "description":"OPEN TX INTERCOND SPINE/TUBERO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1166.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919849-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX KNEE DISLOC; WO ANES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27550", "description":"CLO TX KNEE DISLOC; WO ANES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":662.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919850-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX KNEE DISLOC; REQUIRING", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27552", "description":"CLO TX KNEE DISLOC; REQUIRING", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":854.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919851-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX KNEE DISLO W/WO FIX; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27556", "description":"OPEN TX KNEE DISLO W/WO FIX; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1324.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919852-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX KNEE DISLO W/WO FIX; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27557", "description":"OPEN TX KNEE DISLO W/WO FIX; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1573.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919853-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX KNEE DISLO; W/PRIM LIG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27558", "description":"OPEN TX KNEE DISLO; W/PRIM LIG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1731.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919854-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX PATELLAR DISLOC; WO ANE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27560", "description":"CLO TX PATELLAR DISLOC; WO ANE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":483.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919855-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX PATELLAR DISLOC; REQUIR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27562", "description":"CLO TX PATELLAR DISLOC; REQUIR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":617.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919856-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX PATELLA DISLOC W/WO PA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27566", "description":"OPEN TX PATELLA DISLOC W/WO PA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1246.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919857-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MANIP KNEE JT UNDER GEN ANES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27570", "description":"MANIP KNEE JT UNDER GEN ANES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":203.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919858-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FUSION KNEE ANY TECH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27580", "description":"FUSION KNEE ANY TECH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2018.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919859-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA THIGH THRU FEMUR ANY LE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27590", "description":"AMPUTA THIGH THRU FEMUR ANY LE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1143.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919860-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA THIGH THRU FEMUR; IMMED", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27591", "description":"AMPUTA THIGH THRU FEMUR; IMMED", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1273.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919861-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA THIGH THRU FEMUR ANY LE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27592", "description":"AMPUTA THIGH THRU FEMUR ANY LE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":968.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919862-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA THIGH FEMUR; SECNDRY CL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27594", "description":"AMPUTA THIGH FEMUR; SECNDRY CL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":705.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919863-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA THIGH THRU FEMUR ANY LE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27596", "description":"AMPUTA THIGH THRU FEMUR ANY LE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1022.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919864-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIASART AT KNEE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27598", "description":"DIASART AT KNEE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1033.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919865-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECOMP FASCIOTOMY LEG; ANT &/O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27600", "description":"DECOMP FASCIOTOMY LEG; ANT &/O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":588.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919866-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECOMP FASCIOTOMY LEG; POST CO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27601", "description":"DECOMP FASCIOTOMY LEG; POST CO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":606.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919867-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECOMP FASCIOT LEG; ANT &/ LAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27602", "description":"DECOMP FASCIOT LEG; ANT &/ LAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":723.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919868-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D LEG/ANK; DEEP ABSCESS/HEMA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27603", "description":"I&D LEG/ANK; DEEP ABSCESS/HEMA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":718.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919869-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D LEG/ANK; INFEC BURSA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27604", "description":"I&D LEG/ANK; INFEC BURSA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":627.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919870-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY ACHILLES SUBQ (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27605", "description":"TENOTOMY ACHILLES SUBQ (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":537.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919871-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY ACHILLES SUBQ (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27606", "description":"TENOTOMY ACHILLES SUBQ (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":419.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919872-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS DEEP W/OPEN BONE CORTEX L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27607", "description":"INCS DEEP W/OPEN BONE CORTEX L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":845.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919873-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY ANK-INFEC-W/EXPLOR/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27610", "description":"ARTHROTOMY ANK-INFEC-W/EXPLOR/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":909.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919874-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY ANK W/WO ACHILLES T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27612", "description":"ARTHROTOMY ANK W/WO ACHILLES T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":793.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919875-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX SOFT TISS LEG/ANK AREA; SUP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27613", "description":"BX SOFT TISS LEG/ANK AREA; SUP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":330.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919876-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX SOFT TISS LEG/ANK AREA; DEE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27614", "description":"BX SOFT TISS LEG/ANK AREA; DEE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":761.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919877-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR SOFT TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27615", "description":"RADICAL RESECT TUMOR SOFT TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1238.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919878-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27616", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919879-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR LEG/ANK AREA; SUBQ", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27618", "description":"EXC TUMOR LEG/ANK AREA; SUBQ", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":659.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919880-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR LEG/ANK AREA; DEEP/S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27619", "description":"EXC TUMOR LEG/ANK AREA; DEEP/S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1059.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919881-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY ANK W/JT EXPLOR W/W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27620", "description":"ARTHROTOMY ANK W/JT EXPLOR W/W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":647.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919882-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY ANK W/SYNOVECTOMY;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27625", "description":"ARTHROTOMY ANK W/SYNOVECTOMY;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":838.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919883-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY ANK W/SYNOVECTOMY;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27626", "description":"ARTHROTOMY ANK W/SYNOVECTOMY;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":899.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919884-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES TENDON SHEATH/CAPSULE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27630", "description":"EXC LES TENDON SHEATH/CAPSULE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":732.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919885-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27632", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919886-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27634", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919887-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/BEN TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27635", "description":"EXC/CURET BONE CYST/BEN TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":827.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919888-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/BEN TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27637", "description":"EXC/CURET BONE CYST/BEN TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1041.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919889-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/BEN TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27638", "description":"EXC/CURET BONE CYST/BEN TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1090.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919890-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC BONE; TIBIA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27640", "description":"PART EXC BONE; TIBIA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1228.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919891-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC BONE; FIBULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27641", "description":"PART EXC BONE; FIBULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":989.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919892-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT BONE TUMOR; TIB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27645", "description":"RADICAL RESECT BONE TUMOR; TIB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1477.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919893-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT BONE TUMOR; FIB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27646", "description":"RADICAL RESECT BONE TUMOR; FIB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1318.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919894-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT BONE TUMOR; TAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27647", "description":"RADICAL RESECT BONE TUMOR; TAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1159.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919895-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC ANK ARTHROGRAPHY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27648", "description":"INJ PROC ANK ARTHROGRAPHY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":238.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919896-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR PRIM OP/PERCUT RUPT ACHIL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27650", "description":"REPR PRIM OP/PERCUT RUPT ACHIL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":983.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919897-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR PRIM OP/PERCUT RUPT ACHIL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27652", "description":"REPR PRIM OP/PERCUT RUPT ACHIL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1049.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919898-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR SECNDRY RUPT ACHILLES TEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27654", "description":"REPR SECNDRY RUPT ACHILLES TEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":988.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919899-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR FASCIAL DEFECT LEG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27656", "description":"REPR FASCIAL DEFECT LEG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":746.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919900-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR/SUTURE FLEXOR TENDON LEG;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27658", "description":"REPR/SUTURE FLEXOR TENDON LEG;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":541.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919901-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR/SUTURE FLEXOR TENDON LEG;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27659", "description":"REPR/SUTURE FLEXOR TENDON LEG;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":711.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919902-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR/SUTURE EXTENSOR TENDON LE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27664", "description":"REPR/SUTURE EXTENSOR TENDON LE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":518.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919903-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR/SUTURE EXTENSOR TENDON LE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27665", "description":"REPR/SUTURE EXTENSOR TENDON LE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":592.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919904-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR DISLOC PERONEAL TENDONS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27675", "description":"REPR DISLOC PERONEAL TENDONS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":727.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919905-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR DISLOC PERONEAL TENDONS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27676", "description":"REPR DISLOC PERONEAL TENDONS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":869.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919906-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOLYSIS INCL TIBIA FIBULA &", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27680", "description":"TENOLYSIS INCL TIBIA FIBULA &", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":611.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919907-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOLYSIS INCL TIB/FIB & ANK F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27681", "description":"TENOLYSIS INCL TIB/FIB & ANK F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":729.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919908-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LENGTHEN/SHORTEN TENDON LEG/AN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27685", "description":"LENGTHEN/SHORTEN TENDON LEG/AN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":849.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919909-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LENGTHEN/SHORTEN TENDON LEG/AN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27686", "description":"LENGTHEN/SHORTEN TENDON LEG/AN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":792.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919910-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTROCNEMIUS RECESSION", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27687", "description":"GASTROCNEMIUS RECESSION", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":655.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919911-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSF/TRANSPL SNGL TENDON; SU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27690", "description":"TRANSF/TRANSPL SNGL TENDON; SU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":865.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919912-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSF/TRANSPL SNGL TENDON; DE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27691", "description":"TRANSF/TRANSPL SNGL TENDON; DE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1024.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919913-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSF/TRANSPL SNGL TENDON; EA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27692", "description":"TRANSF/TRANSPL SNGL TENDON; EA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":160.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919914-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE PRIM TORN/RUPT/SEVERD L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27695", "description":"SUTURE PRIM TORN/RUPT/SEVERD L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":699.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919915-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE PRIM TORN/RUPT LIG ANK;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27696", "description":"SUTURE PRIM TORN/RUPT LIG ANK;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":835.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919916-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE SECNDRY REPR TORN/RUPT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27698", "description":"SUTURE SECNDRY REPR TORN/RUPT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":930.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919917-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY ANK", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27700", "description":"ARTHROPLASTY ANK", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":871.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919918-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY ANK; W/IMPLNT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27702", "description":"ARTHROPLASTY ANK; W/IMPLNT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1400.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919919-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROPLASTY ANK; SECNDRY RECO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27703", "description":"ARTHROPLASTY ANK; SECNDRY RECO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1604.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919920-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV ANK IMPLNT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27704", "description":"REMOV ANK IMPLNT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":780.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919921-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY; TIBIA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27705", "description":"OSTEOTOMY; TIBIA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1076.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919922-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY; FIBULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27707", "description":"OSTEOTOMY; FIBULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":548.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919923-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY; TIBIA & FIBULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27709", "description":"OSTEOTOMY; TIBIA & FIBULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1510.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919924-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY; MX W/REALIGNMENT IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27712", "description":"OSTEOTOMY; MX W/REALIGNMENT IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1510.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919925-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOPLASTY TIBIA & FIBULA LEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27715", "description":"OSTEOPLASTY TIBIA & FIBULA LEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1483.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919926-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NONUNION/MALUNION TIBIA;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27720", "description":"REPR NONUNION/MALUNION TIBIA;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1227.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919927-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NONUNION/MALUNION TIBIA;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27722", "description":"REPR NONUNION/MALUNION TIBIA;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1223.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919928-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NON/MALUNION TIBIA; W/ILI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27724", "description":"REPR NON/MALUNION TIBIA; W/ILI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1793.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919929-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NON/MALUNION TIBIA; BY SY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27725", "description":"REPR NON/MALUNION TIBIA; BY SY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1663.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919930-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27726", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1252.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919931-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR CONGEN PSEUDARTHROSIS TIB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27727", "description":"REPR CONGEN PSEUDARTHROSIS TIB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1434.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919932-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EPIPHYSEAL ARREST-EPIPHYSIODES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27730", "description":"EPIPHYSEAL ARREST-EPIPHYSIODES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":806.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919933-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EPIPHYSEAL ARREST-EPIPHYSIODES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27732", "description":"EPIPHYSEAL ARREST-EPIPHYSIODES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":577.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919934-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EPIPHYSEAL ARREST-EPIPHYSIODES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27734", "description":"EPIPHYSEAL ARREST-EPIPHYSIODES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":873.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919935-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EPIPHYSEAL ARREST COMBO PROX &", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27740", "description":"EPIPHYSEAL ARREST COMBO PROX &", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":987.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919936-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EPIPHYSEAL ARREST PROX-DIST TI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27742", "description":"EPIPHYSEAL ARREST PROX-DIST TI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":920.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919937-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROPHYLACTIC TX W/WO METHYLMET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27745", "description":"PROPHYLACTIC TX W/WO METHYLMET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1055.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919938-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX TIBIAL SHAFT FX; WO MAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27750", "description":"CLO TX TIBIAL SHAFT FX; WO MAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":455.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919939-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX TIB SHAFT FX; W/MANIP W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27752", "description":"CLO TX TIB SHAFT FX; W/MANIP W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":728.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919940-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELETAL FIXA TIBIAL SH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27756", "description":"PERCUT SKELETAL FIXA TIBIAL SH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":786.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919941-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX TIB SHAFT FX W/PLATE/S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27758", "description":"OPEN TX TIB SHAFT FX W/PLATE/S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1233.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919942-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX TIB SHAFT FX-IMPLNT-W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27759", "description":"OPEN TX TIB SHAFT FX-IMPLNT-W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1399.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919943-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX MEDIAL MALLEOLUS FX; WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27760", "description":"CLO TX MEDIAL MALLEOLUS FX; WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":440.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919944-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX MED MALLEOLUS FX; W/MAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27762", "description":"CLO TX MED MALLEOLUS FX; W/MAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":655.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919945-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX MEDIAL MALLEOLUS FX W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27766", "description":"OPEN TX MEDIAL MALLEOLUS FX W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":850.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919946-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27767", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":352.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919947-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27768", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":543.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919948-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27769", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":937.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919949-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX PROX FIBULA/SHAFT FX; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27780", "description":"CLO TX PROX FIBULA/SHAFT FX; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":391.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919950-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX PROX FIBULA/SHAFT FX; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27781", "description":"CLO TX PROX FIBULA/SHAFT FX; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":563.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919951-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX PROX FIBULA/SHAFT FX W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27784", "description":"OPEN TX PROX FIBULA/SHAFT FX W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":936.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919952-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX DISTAL FIBULAR FX; WO M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27786", "description":"CLO TX DISTAL FIBULAR FX; WO M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":416.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919953-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX DISTAL FIBULAR FX; W/MA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27788", "description":"CLO TX DISTAL FIBULAR FX; W/MA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":574.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919954-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX DISTAL FIBULAR FX W/WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27792", "description":"OPEN TX DISTAL FIBULAR FX W/WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":955.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919955-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX BIMALLEOLAR ANK FX; WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27808", "description":"CLO TX BIMALLEOLAR ANK FX; WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":436.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919956-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX BIMALLEOLAR ANK FX; W/M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27810", "description":"CLO TX BIMALLEOLAR ANK FX; W/M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":643.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919957-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX BIMALLEOLAR ANK FX W/W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27814", "description":"OPEN TX BIMALLEOLAR ANK FX W/W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1082.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919958-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX TRIMALLEOLAR ANK FX; WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27816", "description":"CLO TX TRIMALLEOLAR ANK FX; WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":414.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919959-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX TRIMALLEOLAR ANK FX; W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27818", "description":"CLO TX TRIMALLEOLAR ANK FX; W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":665.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919960-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX TRIMALLEOLR FX MED/LAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27822", "description":"OPEN TX TRIMALLEOLR FX MED/LAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1202.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919961-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX TRIMALLEOLAR FX MED/LA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27823", "description":"OPEN TX TRIMALLEOLAR FX MED/LA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1364.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919962-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX FX WT BEARING ARTICUL-D", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27824", "description":"CLO TX FX WT BEARING ARTICUL-D", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":409.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919963-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX FX ARTICUL-DIST TIB; W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27825", "description":"CLO TX FX ARTICUL-DIST TIB; W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":746.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919964-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX FX WT BEARING DIST TIB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27826", "description":"OPEN TX FX WT BEARING DIST TIB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1128.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919965-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX FX WT BEARING DIST TIB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27827", "description":"OPEN TX FX WT BEARING DIST TIB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1527.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919966-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX FX WT BEARING DIST TIB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27828", "description":"OPEN TX FX WT BEARING DIST TIB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1810.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919967-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX DIST TIBIOFIBULAR JT D", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27829", "description":"OPEN TX DIST TIBIOFIBULAR JT D", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":892.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919968-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX PROX TIBIOFIBULAR JT DI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27830", "description":"CLO TX PROX TIBIOFIBULAR JT DI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":469.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919969-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX PROX TIBIOFIBULAR JT DI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27831", "description":"CLO TX PROX TIBIOFIBULAR JT DI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":518.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919970-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX PROX TIB-FIB JT DISLOC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27832", "description":"OPEN TX PROX TIB-FIB JT DISLOC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":947.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919971-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX ANK DISLOC; WO ANES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27840", "description":"CLO TX ANK DISLOC; WO ANES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":478.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919972-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX ANK DISLOC; REQ ANES W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27842", "description":"CLO TX ANK DISLOC; REQ ANES W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":661.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919973-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX ANK DISLOC W/WO PERCUT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27846", "description":"OPEN TX ANK DISLOC W/WO PERCUT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1029.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919974-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX ANK DISLOC W/WO FIX; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27848", "description":"OPEN TX ANK DISLOC W/WO FIX; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1179.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919975-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MANIP ANK UNDER GEN ANES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27860", "description":"MANIP ANK UNDER GEN ANES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":246.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919976-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS ANK ANY METHD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27870", "description":"ARTHRODESIS ANK ANY METHD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1464.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919977-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS TIBIOFIBULAR JT PR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27871", "description":"ARTHRODESIS TIBIOFIBULAR JT PR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":968.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919978-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA LEG THRU TIBIA & FIBULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27880", "description":"AMPUTA LEG THRU TIBIA & FIBULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1276.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919979-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA LEG THRU TIB & FIB; W/I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27881", "description":"AMPUTA LEG THRU TIB & FIB; W/I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1252.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919980-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA LEG THRU TIBIA & FIBULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27882", "description":"AMPUTA LEG THRU TIBIA & FIBULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":892.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919981-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA LEG-TIB & FIB; SECNDRY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27884", "description":"AMPUTA LEG-TIB & FIB; SECNDRY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":819.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919982-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA LEG THRU TIBIA & FIBULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27886", "description":"AMPUTA LEG THRU TIBIA & FIBULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":929.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919983-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA ANK-MALLEOLI W/PLASTIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27888", "description":"AMPUTA ANK-MALLEOLI W/PLASTIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":991.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919984-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANK DIASART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27889", "description":"ANK DIASART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":969.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919985-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECOMP FASCIOT LEG; ANT/LAT CO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27892", "description":"DECOMP FASCIOT LEG; ANT/LAT CO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":766.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919986-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECOMP FASCIOT LEG; POST COMPR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27893", "description":"DECOMP FASCIOT LEG; POST COMPR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":761.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919987-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECOMP FASCIOT LEG; ANT/LAT/PO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"27894", "description":"DECOMP FASCIOT LEG; ANT/LAT/PO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1160.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919988-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D INFEC BURSA FT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28001", "description":"I&D INFEC BURSA FT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":359.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919989-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DEEP DISSECTION BELOW FASCIA;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28002", "description":"DEEP DISSECTION BELOW FASCIA;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":665.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919990-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DEEP DISSECTION BELOW FASCIA;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28003", "description":"DEEP DISSECTION BELOW FASCIA;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":922.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919991-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS DEEP W/OPEN BONE CORTEX F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28005", "description":"INCS DEEP W/OPEN BONE CORTEX F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":872.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919992-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FASCIOTOMY FT &/OR TOE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28008", "description":"FASCIOTOMY FT &/OR TOE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":569.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919993-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY SUBQ TOE; SNGL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28010", "description":"TENOTOMY SUBQ TOE; SNGL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":318.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919994-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY SUBQ TOE; MX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28011", "description":"TENOTOMY SUBQ TOE; MX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":449.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919995-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY W/EXPLOR; INTERTARS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28020", "description":"ARTHROTOMY W/EXPLOR; INTERTARS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":681.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919996-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY W/EXPLOR; METATARSO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28022", "description":"ARTHROTOMY W/EXPLOR; METATARSO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":623.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919997-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY W/EXPLOR; IP JT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28024", "description":"ARTHROTOMY W/EXPLOR; IP JT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":595.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919998-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TARSAL TUNNEL RELEASE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28035", "description":"TARSAL TUNNEL RELEASE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":678.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73919999-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28039", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920000-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28041", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920001-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR FT; SUBQ", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28043", "description":"EXC TUMOR FT; SUBQ", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":455.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920002-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TUMOR FT; DEEP/SUBFASCIAL/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28045", "description":"EXC TUMOR FT; DEEP/SUBFASCIAL/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":633.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920003-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TUMOR SOFT TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28046", "description":"RADICAL RESECT TUMOR SOFT TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1163.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920004-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28047", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920005-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY SYNOVIAL BX; INTERT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28050", "description":"ARTHROTOMY SYNOVIAL BX; INTERT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":591.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920006-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY SYNOVIAL BX; METATA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28052", "description":"ARTHROTOMY SYNOVIAL BX; METATA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":553.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920007-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROTOMY SYNOVIAL BX; IP JT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28054", "description":"ARTHROTOMY SYNOVIAL BX; IP JT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":518.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920008-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28055", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":562.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920009-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FASCIECTOMY EXC PLANTAR FASCIA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28060", "description":"FASCIECTOMY EXC PLANTAR FASCIA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":668.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920010-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FASCIECTOMY PLANTAR; RADICAL (", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28062", "description":"FASCIECTOMY PLANTAR; RADICAL (", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":793.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920011-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SYNOVECTOMY; INTERTARSAL/TARSO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28070", "description":"SYNOVECTOMY; INTERTARSAL/TARSO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":663.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920012-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SYNOVECTOMY; METATARSOPHALANGE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28072", "description":"SYNOVECTOMY; METATARSOPHALANGE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":648.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920013-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC INTERDIGITAL NEUROMA SNGL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28080", "description":"EXC INTERDIGITAL NEUROMA SNGL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":631.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920014-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SYNOVECTOMY TENDON SHEATH FT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28086", "description":"SYNOVECTOMY TENDON SHEATH FT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":741.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920015-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SYNOVECTOMY TENDON SHEATH FT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28088", "description":"SYNOVECTOMY TENDON SHEATH FT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":596.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920016-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES TENDON/FIBROUS SHEATH/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28090", "description":"EXC LES TENDON/FIBROUS SHEATH/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":602.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920017-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES TENDON/FIBROUS SHEATH/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28092", "description":"EXC LES TENDON/FIBROUS SHEATH/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":550.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920018-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/BEN TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28100", "description":"EXC/CURET BONE CYST/BEN TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":796.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920019-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST TALUS/CALC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28102", "description":"EXC/CURET BONE CYST TALUS/CALC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":769.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920020-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST TALUS/CALC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28103", "description":"EXC/CURET BONE CYST TALUS/CALC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":632.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920021-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST TARSAL/MET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28104", "description":"EXC/CURET BONE CYST TARSAL/MET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":666.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920022-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST TARSAL EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28106", "description":"EXC/CURET BONE CYST TARSAL EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":672.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920023-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST TARSAL EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28107", "description":"EXC/CURET BONE CYST TARSAL EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":735.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920024-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/CURET BONE CYST/BEN TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28108", "description":"EXC/CURET BONE CYST/BEN TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":558.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920025-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY PART EXC 5TH METATAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28110", "description":"OSTEOTOMY PART EXC 5TH METATAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":589.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920026-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTECTOMY COMPLT EXC; FIRST ME", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28111", "description":"OSTECTOMY COMPLT EXC; FIRST ME", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":679.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920027-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTECTOMY COMPLT EXC; OTHER ME", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28112", "description":"OSTECTOMY COMPLT EXC; OTHER ME", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":638.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920028-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTECTOMY COMPLT EXC; FIFTH ME", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28113", "description":"OSTECTOMY COMPLT EXC; FIFTH ME", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":751.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920029-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTECTOMY-COMPLT; ALL METATARS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28114", "description":"OSTECTOMY-COMPLT; ALL METATARS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1391.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920030-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTECTOMY EXC TARSAL COALITION", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28116", "description":"OSTECTOMY EXC TARSAL COALITION", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":982.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920031-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTECTOMY CALCAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28118", "description":"OSTECTOMY CALCAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":759.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920032-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTECTOMY CALCAN; SPUR W/WO PL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28119", "description":"OSTECTOMY CALCAN; SPUR W/WO PL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":680.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920033-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC BONE TALUS/CALCAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28120", "description":"PART EXC BONE TALUS/CALCAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":771.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920034-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC BONE TARSAL/METATARS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28122", "description":"PART EXC BONE TARSAL/METATARS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":880.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920035-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART EXC BONE PHALANX TOE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28124", "description":"PART EXC BONE PHALANX TOE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":620.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920036-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT PART/COMPLT PHALAN BASE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28126", "description":"RESECT PART/COMPLT PHALAN BASE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":499.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920037-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TALECTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28130", "description":"TALECTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":914.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920038-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"METATARSECTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28140", "description":"METATARSECTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":842.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920039-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28150", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":562.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920040-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT HEAD PHALANX TOE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28153", "description":"RESECT HEAD PHALANX TOE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":517.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920041-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HEMIPHALANGECTOMY/IP JT EXC TO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28160", "description":"HEMIPHALANGECTOMY/IP JT EXC TO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":533.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920042-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT BONE TUMOR; TAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28171", "description":"RADICAL RESECT BONE TUMOR; TAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":883.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920043-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT BONE TUMOR; MET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28173", "description":"RADICAL RESECT BONE TUMOR; MET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":993.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920044-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT BONE TUMOR; PHA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28175", "description":"RADICAL RESECT BONE TUMOR; PHA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":725.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920045-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB FT; SUBQ", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28190", "description":"REMOV FB FT; SUBQ", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":325.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920046-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB FT; DEEP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28192", "description":"REMOV FB FT; DEEP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":623.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920047-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB FT; COMPLIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28193", "description":"REMOV FB FT; COMPLIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":708.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920048-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR/SUTURE TENDON FT FLEXOR 1", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28200", "description":"REPR/SUTURE TENDON FT FLEXOR 1", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":614.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920049-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR/SUTURE TENDON FT FLEXOR 1", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28202", "description":"REPR/SUTURE TENDON FT FLEXOR 1", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":835.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920050-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR/SUTURE TENDON FT EXTENSOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28208", "description":"REPR/SUTURE TENDON FT EXTENSOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":587.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920051-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR/SUTURE TENDON FT EXTENSOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28210", "description":"REPR/SUTURE TENDON FT EXTENSOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":769.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920052-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOLYSIS FLEXOR FT; SNGL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28220", "description":"TENOLYSIS FLEXOR FT; SNGL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":583.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920053-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOLYSIS FLEXOR FT; MX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28222", "description":"TENOLYSIS FLEXOR FT; MX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":678.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920054-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOLYSIS EXTENSOR FT; SNGL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28225", "description":"TENOLYSIS EXTENSOR FT; SNGL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":510.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920055-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOLYSIS EXTENSOR FT; MX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28226", "description":"TENOLYSIS EXTENSOR FT; MX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":600.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920056-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY OPEN FLEXOR; FT SNGL/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28230", "description":"TENOTOMY OPEN FLEXOR; FT SNGL/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":562.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920057-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY OPEN FLEXOR; TOE SNGL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28232", "description":"TENOTOMY OPEN FLEXOR; TOE SNGL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":500.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920058-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY OPEN EXTENSOR FT/TOE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28234", "description":"TENOTOMY OPEN EXTENSOR FT/TOE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":514.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920059-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADVANC POST TIB TENDON W/EXC A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28238", "description":"ADVANC POST TIB TENDON W/EXC A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":907.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920060-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TENOTOMY LENGTHEN/RELEASE ABDU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28240", "description":"TENOTOMY LENGTHEN/RELEASE ABDU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":571.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920061-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIVISION PLANTAR FASCIA & MUSC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28250", "description":"DIVISION PLANTAR FASCIA & MUSC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":727.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920062-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULOTOMY MIDFOOT; MEDIAL RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28260", "description":"CAPSULOTOMY MIDFOOT; MEDIAL RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":898.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920063-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULOTOMY MIDFOOT; W/TENDON", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28261", "description":"CAPSULOTOMY MIDFOOT; W/TENDON", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1302.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920064-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULOTOMY MIDFT; EXTEN W/POS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28262", "description":"CAPSULOTOMY MIDFT; EXTEN W/POS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1841.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920065-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULOTOMY MIDTARSAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28264", "description":"CAPSULOTOMY MIDTARSAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1138.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920066-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULOTOMY; MTP JT-SNGL-EA JT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28270", "description":"CAPSULOTOMY; MTP JT-SNGL-EA JT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":619.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920067-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAPSULOTOMY; IP JT-SNGL-EA JT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28272", "description":"CAPSULOTOMY; IP JT-SNGL-EA JT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":510.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920068-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"WEBBING OR (CREATE SYNDACTYLIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28280", "description":"WEBBING OR (CREATE SYNDACTYLIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":695.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920069-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HAMMERTOE OR; 1 TOE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28285", "description":"HAMMERTOE OR; 1 TOE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":602.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920070-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COCK-UP 5TH TOE OR W/PLASTIC S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28286", "description":"COCK-UP 5TH TOE OR W/PLASTIC S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":592.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920071-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTECTOMY PART SNGL 1ST-5TH EA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28288", "description":"OSTECTOMY PART SNGL 1ST-5TH EA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":752.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920072-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28289", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":970.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920073-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28291", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920074-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HALLUX VALGUS; KELLER/MCBRIDE/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28292", "description":"HALLUX VALGUS; KELLER/MCBRIDE/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1010.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920075-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28295", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920076-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HALLUX VALGUS CORRECT; W/METAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28296", "description":"HALLUX VALGUS CORRECT; W/METAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1051.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920077-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HALLUX VALGUS-W/WO SESAMOIDECT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28297", "description":"HALLUX VALGUS-W/WO SESAMOIDECT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1103.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920078-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HALLUX VALGUS W/WO SESAMOIDECT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28298", "description":"HALLUX VALGUS W/WO SESAMOIDECT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":940.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920079-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28299", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1213.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920080-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY; CALCAN W/WO INT FIX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28300", "description":"OSTEOTOMY; CALCAN W/WO INT FIX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":947.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920081-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY; TALUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28302", "description":"OSTEOTOMY; TALUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":942.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920082-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY MIDTARSAL BONES NOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28304", "description":"OSTEOTOMY MIDTARSAL BONES NOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1045.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920083-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOT MIDTARSAL NOT CALCAN/TA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28305", "description":"OSTEOT MIDTARSAL NOT CALCAN/TA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":974.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920084-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOT METATARSAL BASE/SHAFT S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28306", "description":"OSTEOT METATARSAL BASE/SHAFT S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":784.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920085-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOT BASE/SHAFT SNGL; 1ST ME", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28307", "description":"OSTEOT BASE/SHAFT SNGL; 1ST ME", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":957.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920086-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOT BASE/SHAFT SNGL; NOT 1S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28308", "description":"OSTEOT BASE/SHAFT SNGL; NOT 1S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":703.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920087-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY METATARSALS MX CAVUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28309", "description":"OSTEOTOMY METATARSALS MX CAVUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1271.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920088-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY; PROX PHALANX 1ST TO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28310", "description":"OSTEOTOMY; PROX PHALANX 1ST TO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":700.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920089-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OSTEOTOMY; OTHER PHALANGES ANY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28312", "description":"OSTEOTOMY; OTHER PHALANGES ANY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":637.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920090-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON ANGULAR DEFORM TOE SOFT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28313", "description":"RECON ANGULAR DEFORM TOE SOFT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":658.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920091-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SESAMOIDECTOMY FIRST TOE (SEPA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28315", "description":"SESAMOIDECTOMY FIRST TOE (SEPA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":618.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920092-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NONUNION/MALUNION; TARSAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28320", "description":"REPR NONUNION/MALUNION; TARSAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":903.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920093-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NON/MALUNION; METATARSAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28322", "description":"REPR NON/MALUNION; METATARSAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1039.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920094-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON TOE MACRODACTYLY; SOFT T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28340", "description":"RECON TOE MACRODACTYLY; SOFT T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":824.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920095-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON TOE MACRODACTYLY; REQUIR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28341", "description":"RECON TOE MACRODACTYLY; REQUIR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":942.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920096-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON TOE; POLYDACTYLY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28344", "description":"RECON TOE; POLYDACTYLY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":598.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920097-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON TOE; SYNDACTYLY W/WO SKI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28345", "description":"RECON TOE; SYNDACTYLY W/WO SKI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":746.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920098-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON CLEFT FT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28360", "description":"RECON CLEFT FT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1352.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920099-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX CALCAN FX; WO MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28400", "description":"CLO TX CALCAN FX; WO MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":332.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920100-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX CALCAN FX; W/MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28405", "description":"CLO TX CALCAN FX; W/MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":541.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920101-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELETAL FIXA CALCAN FX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28406", "description":"PERCUT SKELETAL FIXA CALCAN FX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":740.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920102-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX CALCAN FX W/WO INT/EXT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28415", "description":"OPEN TX CALCAN FX W/WO INT/EXT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1627.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920103-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX CALCAN FX W/WO FIX; W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28420", "description":"OPEN TX CALCAN FX W/WO FIX; W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1694.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920104-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX TALUS FX; WO MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28430", "description":"CLO TX TALUS FX; WO MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":312.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920105-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX TALUS FX; W/MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28435", "description":"CLO TX TALUS FX; W/MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":431.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920106-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELETAL FIXA TALUS FX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28436", "description":"PERCUT SKELETAL FIXA TALUS FX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":591.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920107-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX TALUS FX W/WO INT/EXT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28445", "description":"OPEN TX TALUS FX W/WO INT/EXT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1515.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920108-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28446", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1621.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920109-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TX TARSAL BONE FX; WO MANIP EA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28450", "description":"TX TARSAL BONE FX; WO MANIP EA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":287.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920110-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TX TARSAL BONE FX; W/MANIP EA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28455", "description":"TX TARSAL BONE FX; W/MANIP EA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":389.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920111-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELETAL FIX TARSAL BON", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28456", "description":"PERCUT SKELETAL FIX TARSAL BON", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":389.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920112-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX TARSAL BONE FX W/WO IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28465", "description":"OPEN TX TARSAL BONE FX W/WO IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":858.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920113-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX METATARSAL FX; WO MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28470", "description":"CLO TX METATARSAL FX; WO MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":287.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920114-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX METATARSAL FX; W/MANIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28475", "description":"CLO TX METATARSAL FX; W/MANIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":361.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920115-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELETAL FIXA METATARSA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28476", "description":"PERCUT SKELETAL FIXA METATARSA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":472.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920116-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX METATARSAL FX W/WO INT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28485", "description":"OPEN TX METATARSAL FX W/WO INT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":736.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920117-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX FX GREAT TOE PHALANX/PH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28490", "description":"CLO TX FX GREAT TOE PHALANX/PH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":182.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920118-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX FX GRT TOE PHALANX/PHAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28495", "description":"CLO TX FX GRT TOE PHALANX/PHAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":228.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920119-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELETAL FIX FX GREAT T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28496", "description":"PERCUT SKELETAL FIX FX GREAT T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":589.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920120-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX FX GREAT TOE-PHALANX/P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28505", "description":"OPEN TX FX GREAT TOE-PHALANX/P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":885.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920121-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX FX PHALANX OTHER THAN G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28510", "description":"CLO TX FX PHALANX OTHER THAN G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":158.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920122-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX FX PHALANX NOT GREAT TO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28515", "description":"CLO TX FX PHALANX NOT GREAT TO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":205.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920123-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX FX PHALNX NOT GR TOE W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28525", "description":"OPEN TX FX PHALNX NOT GR TOE W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":758.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920124-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX SESAMOID FX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28530", "description":"CLO TX SESAMOID FX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":150.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920125-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX SESAMOID FX W/WO INT F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28531", "description":"OPEN TX SESAMOID FX W/WO INT F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":543.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920126-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX TARSAL BONE DISLOC-NOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28540", "description":"CLO TX TARSAL BONE DISLOC-NOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":270.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920127-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX TARSAL BONE DISLOC NOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28545", "description":"CLO TX TARSAL BONE DISLOC NOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":313.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920128-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT FIX TARSAL DISLOC-NOT T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28546", "description":"PERCUT FIX TARSAL DISLOC-NOT T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":624.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920129-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX TARSAL BONE DISLOC W/W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28555", "description":"OPEN TX TARSAL BONE DISLOC W/W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1140.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920130-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX TALOTARSAL JT DISLOC; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28570", "description":"CLO TX TALOTARSAL JT DISLOC; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":241.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920131-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX TALOTARSAL JT DISLOC; R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28575", "description":"CLO TX TALOTARSAL JT DISLOC; R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":435.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920132-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELETAL FIX TALOTARSAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28576", "description":"PERCUT SKELETAL FIX TALOTARSAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":502.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920133-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX TALOTARSAL JT DISLOC W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28585", "description":"OPEN TX TALOTARSAL JT DISLOC W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1172.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920134-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX TARSOMETATARSAL JT DISL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28600", "description":"CLO TX TARSOMETATARSAL JT DISL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":281.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920135-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX TARSOMETATARSAL JT DISL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28605", "description":"CLO TX TARSOMETATARSAL JT DISL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":365.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920136-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELETAL FIX TARSOMETAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28606", "description":"PERCUT SKELETAL FIX TARSOMETAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":549.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920137-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX TARSOMETAT JT DISLOC W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28615", "description":"OPEN TX TARSOMETAT JT DISLOC W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1071.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920138-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX METATARSOPHALANGEAL JT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28630", "description":"CLO TX METATARSOPHALANGEAL JT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":197.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920139-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX METATARSOPHALANGEAL JT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28635", "description":"CLO TX METATARSOPHALANGEAL JT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":236.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920140-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELET FIX METATARSOPHA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28636", "description":"PERCUT SKELET FIX METATARSOPHA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":401.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920141-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX METATARSPHAL JT DISLOC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28645", "description":"OPEN TX METATARSPHAL JT DISLOC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":791.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920142-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX IP JT DISLOC; WO ANES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28660", "description":"CLO TX IP JT DISLOC; WO ANES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":145.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920143-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO TX IP JT DISLOC; REQUIRING", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28665", "description":"CLO TX IP JT DISLOC; REQUIRING", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":207.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920144-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT SKELETAL FIXA IP JT DIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28666", "description":"PERCUT SKELETAL FIXA IP JT DIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":285.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920145-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN TX IP JT DISLOC W/WO INT/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28675", "description":"OPEN TX IP JT DISLOC W/WO INT/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":749.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920146-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PANTALAR ARTHRODESIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28705", "description":"PANTALAR ARTHRODESIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1854.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920147-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRIPLE ARTHRODESIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28715", "description":"TRIPLE ARTHRODESIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1374.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920148-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUBTALAR ARTHRODESIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28725", "description":"SUBTALAR ARTHRODESIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1141.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920149-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS MIDTARS/TARSOMETAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28730", "description":"ARTHRODESIS MIDTARS/TARSOMETAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1182.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920150-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS MIDTARS/TARSOMETAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28735", "description":"ARTHRODESIS MIDTARS/TARSOMETAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1131.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920151-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS MIDTARSAL W/TENDON", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28737", "description":"ARTHRODESIS MIDTARSAL W/TENDON", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1003.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920152-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS MIDTARSAL/TARSOMET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28740", "description":"ARTHRODESIS MIDTARSAL/TARSOMET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1154.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920153-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS GREAT TOE; METATAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28750", "description":"ARTHRODESIS GREAT TOE; METATAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1139.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920154-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS GREAT TOE; IP JT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28755", "description":"ARTHRODESIS GREAT TOE; IP JT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":663.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920155-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHRODESIS GREAT TOE IP JT W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28760", "description":"ARTHRODESIS GREAT TOE IP JT W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1028.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920156-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA FT; MIDTARSAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28800", "description":"AMPUTA FT; MIDTARSAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":816.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920157-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA FT; TRANSMETATARSAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28805", "description":"AMPUTA FT; TRANSMETATARSAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1046.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920158-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA METATARSAL W/TOE SNGL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28810", "description":"AMPUTA METATARSAL W/TOE SNGL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":625.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920159-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA TOE; METATARSOPHALANGEA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28820", "description":"AMPUTA TOE; METATARSOPHALANGEA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":720.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920160-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA TOE; IP JT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28825", "description":"AMPUTA TOE; IP JT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":621.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920161-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"28890", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":489.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920162-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC HALO TYPE BODY CAST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29000", "description":"APPLIC HALO TYPE BODY CAST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":336.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920163-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC RISSER JACKET LOCALIZ B", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29010", "description":"APPLIC RISSER JACKET LOCALIZ B", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":346.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920164-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC RISSER JACKET LOCALIZ B", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29015", "description":"APPLIC RISSER JACKET LOCALIZ B", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":328.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920165-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC BODY CAST SHOULDER TO H", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29035", "description":"APPLIC BODY CAST SHOULDER TO H", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":315.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920166-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC BODY CAST SHOULDR-HIPS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29040", "description":"APPLIC BODY CAST SHOULDR-HIPS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":297.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920167-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC BODY CAST SHOULDER TO H", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29044", "description":"APPLIC BODY CAST SHOULDER TO H", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":343.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920168-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC BODY CAST SHOULDER-HIPS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29046", "description":"APPLIC BODY CAST SHOULDER-HIPS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":366.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920169-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC; PLASTER FIGURE-8", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29049", "description":"APPLIC; PLASTER FIGURE-8", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":122.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920170-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC; SHOULDER SPICA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29055", "description":"APPLIC; SHOULDER SPICA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":273.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920171-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC; PLASTER VELPEAU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29058", "description":"APPLIC; PLASTER VELPEAU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":157.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920172-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC; SHOULDER TO HAND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29065", "description":"APPLIC; SHOULDER TO HAND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":127.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920173-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC; ELBOW TO FINGER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29075", "description":"APPLIC; ELBOW TO FINGER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":117.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920174-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC; HAND & LOWER FOREARM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29085", "description":"APPLIC; HAND & LOWER FOREARM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":125.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920175-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29086", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":95.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920176-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC LONG ARM SPLINT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29105", "description":"APPLIC LONG ARM SPLINT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":117.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920177-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC SHORT ARM SPLINT; STATI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29125", "description":"APPLIC SHORT ARM SPLINT; STATI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":91.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920178-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC SHORT ARM SPLINT; DYNAM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29126", "description":"APPLIC SHORT ARM SPLINT; DYNAM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":107.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920179-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC FINGER SPLINT; STATIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29130", "description":"APPLIC FINGER SPLINT; STATIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":55.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920180-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC FINGER SPLINT; DYNAMIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29131", "description":"APPLIC FINGER SPLINT; DYNAMIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":68.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920181-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STRAPPING; THORAX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29200", "description":"STRAPPING; THORAX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":74.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920182-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STRAPPING; SHOULDER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29240", "description":"STRAPPING; SHOULDER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":84.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920183-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STRAPPING; ELBOW/WRIST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29260", "description":"STRAPPING; ELBOW/WRIST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":72.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920184-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STRAPPING; HAND/FINGER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29280", "description":"STRAPPING; HAND/FINGER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":70.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920185-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC HIP SPICA CAST; 1 LEG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29305", "description":"APPLIC HIP SPICA CAST; 1 LEG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":311.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920186-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC HIP SPICA CAST; 1-1/2 S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29325", "description":"APPLIC HIP SPICA CAST; 1-1/2 S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":335.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920187-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC LONG LEG CAST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29345", "description":"APPLIC LONG LEG CAST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":182.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920188-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC LONG LEG CAST; WALKER/A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29355", "description":"APPLIC LONG LEG CAST; WALKER/A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":186.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920189-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC LONG LEG CAST BRACE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29358", "description":"APPLIC LONG LEG CAST BRACE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":203.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920190-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC CYLINDER CAST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29365", "description":"APPLIC CYLINDER CAST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":164.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920191-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC SHORT LEG CAST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29405", "description":"APPLIC SHORT LEG CAST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":121.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920192-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC SHORT LEG CAST; WALKING", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29425", "description":"APPLIC SHORT LEG CAST; WALKING", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":130.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920193-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC PATELLAR TENDON BEARING", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29435", "description":"APPLIC PATELLAR TENDON BEARING", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":159.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920194-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADD WALKER TO PREV APPLIC CAST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29440", "description":"ADD WALKER TO PREV APPLIC CAST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":72.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920195-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC RIGID TOT CONTACT LEG C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29445", "description":"APPLIC RIGID TOT CONTACT LEG C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":202.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920196-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC CLUBFT CAST W/MOLDING/M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29450", "description":"APPLIC CLUBFT CAST W/MOLDING/M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":209.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920197-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC LONG LEG SPLINT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29505", "description":"APPLIC LONG LEG SPLINT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":105.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920198-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPLIC SHORT LEG SPLINT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29515", "description":"APPLIC SHORT LEG SPLINT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":95.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920199-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STRAPPING; HIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29520", "description":"STRAPPING; HIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":73.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920200-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STRAPPING; KNEE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29530", "description":"STRAPPING; KNEE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":73.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920201-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STRAPPING; ANK", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29540", "description":"STRAPPING; ANK", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":57.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920202-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STRAPPING; TOES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29550", "description":"STRAPPING; TOES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":56.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920203-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STRAPPING; UNNA BOOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29580", "description":"STRAPPING; UNNA BOOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":71.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920204-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29581", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920205-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29584", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920206-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV/BIVALVING; GAUNTLET BOOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29700", "description":"REMOV/BIVALVING; GAUNTLET BOOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":87.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920207-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV/BIVALVING; FULL ARM FULL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29705", "description":"REMOV/BIVALVING; FULL ARM FULL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":91.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920208-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV/BIVALV; SHOULDR/HIP SPIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29710", "description":"REMOV/BIVALV; SHOULDR/HIP SPIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":161.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920209-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR SPICA BODY CAST/JACKET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29720", "description":"REPR SPICA BODY CAST/JACKET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":107.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920210-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"WINDOWING CAST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29730", "description":"WINDOWING CAST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":89.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920211-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"WEDGING CAST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29740", "description":"WEDGING CAST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":130.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920212-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"WEDGING CLUBFT CAST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29750", "description":"WEDGING CLUBFT CAST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":136.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920213-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY-TMJ-DX W/WO SYNOVI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29800", "description":"ARTHROSCOPY-TMJ-DX W/WO SYNOVI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":729.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920214-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY TEMPOROMANDIBULAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29804", "description":"ARTHROSCOPY TEMPOROMANDIBULAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":899.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920215-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29805", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":653.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920216-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29806", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1480.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920217-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29807", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1443.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920218-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY SHOULDER SURG; W/R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29819", "description":"ARTHROSCOPY SHOULDER SURG; W/R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":816.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920219-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY SHOULDER SURG; SYN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29820", "description":"ARTHROSCOPY SHOULDER SURG; SYN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":753.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920220-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY SHOULDER SURG; SYN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29821", "description":"ARTHROSCOPY SHOULDER SURG; SYN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":823.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920221-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY SHOULDER SURG; DEB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29822", "description":"ARTHROSCOPY SHOULDER SURG; DEB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":800.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920222-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY SHOULDER SURG; DEB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29823", "description":"ARTHROSCOPY SHOULDER SURG; DEB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":874.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920223-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29824", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":928.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920224-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY SHOULDER SURG; W/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29825", "description":"ARTHROSCOPY SHOULDER SURG; W/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":815.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920225-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY SHOULDER SURG; DEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29826", "description":"ARTHROSCOPY SHOULDER SURG; DEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":935.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920226-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29827", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1523.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920227-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29828", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1245.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920228-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY ELBOW DX W/WO SYNO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29830", "description":"ARTHROSCOPY ELBOW DX W/WO SYNO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":629.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920229-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY ELBOW SURG; W/REMO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29834", "description":"ARTHROSCOPY ELBOW SURG; W/REMO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":685.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920230-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY ELBOW SURG; SYNOVE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29835", "description":"ARTHROSCOPY ELBOW SURG; SYNOVE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":702.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920231-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY ELBOW SURG; SYNOVE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29836", "description":"ARTHROSCOPY ELBOW SURG; SYNOVE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":806.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920232-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY ELBOW SURG; DEBRID", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29837", "description":"ARTHROSCOPY ELBOW SURG; DEBRID", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":735.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920233-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY ELBOW SURG; DEBRID", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29838", "description":"ARTHROSCOPY ELBOW SURG; DEBRID", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":824.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920234-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY WRIST DX W/WO SYNO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29840", "description":"ARTHROSCOPY WRIST DX W/WO SYNO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":616.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920235-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY WRIST SURG; INFEC/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29843", "description":"ARTHROSCOPY WRIST SURG; INFEC/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":658.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920236-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY WRIST SURG; SYNOVE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29844", "description":"ARTHROSCOPY WRIST SURG; SYNOVE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":688.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920237-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY WRIST SURG; SYNOVE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29845", "description":"ARTHROSCOPY WRIST SURG; SYNOVE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":788.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920238-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY WRIST SURG; EXC/RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29846", "description":"ARTHROSCOPY WRIST SURG; EXC/RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":724.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920239-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY WRIST SURG; INT FI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29847", "description":"ARTHROSCOPY WRIST SURG; INT FI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":751.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920240-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY WRIST SURG; W/RELE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29848", "description":"ARTHROSCOPY WRIST SURG; W/RELE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":677.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920241-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPICALLY AIDED TX FX K", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29850", "description":"ARTHROSCOPICALLY AIDED TX FX K", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":763.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920242-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPICALLY AIDED TX FX K", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29851", "description":"ARTHROSCOPICALLY AIDED TX FX K", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1304.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920243-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPICALLY AIDED TX TIB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29855", "description":"ARTHROSCOPICALLY AIDED TX TIB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1096.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920244-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPICALLY AIDED TX TIB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29856", "description":"ARTHROSCOPICALLY AIDED TX TIB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1400.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920245-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29860", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":902.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920246-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29861", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":985.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920247-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29862", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1109.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920248-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29863", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1098.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920249-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29866", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1461.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920250-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29867", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1772.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920251-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29868", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2371.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920252-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY KNEE DX W/WO SYNOV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29870", "description":"ARTHROSCOPY KNEE DX W/WO SYNOV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":564.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920253-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY KNEE SURG; INFEC/L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29871", "description":"ARTHROSCOPY KNEE SURG; INFEC/L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":709.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920254-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29873", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":713.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920255-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY KNEE SURG; REMOV L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29874", "description":"ARTHROSCOPY KNEE SURG; REMOV L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":741.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920256-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY KNEE SURG; SYNOVEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29875", "description":"ARTHROSCOPY KNEE SURG; SYNOVEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":688.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920257-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY KNEE SURG; SYNOVEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29876", "description":"ARTHROSCOPY KNEE SURG; SYNOVEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":896.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920258-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY KNEE SURG; DEBRID/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29877", "description":"ARTHROSCOPY KNEE SURG; DEBRID/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":849.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920259-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY KNEE SURG; ABRASIO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29879", "description":"ARTHROSCOPY KNEE SURG; ABRASIO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":907.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920260-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY KNEE SURG; W/MENIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29880", "description":"ARTHROSCOPY KNEE SURG; W/MENIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":948.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920261-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY KNEE SURG; W/MENIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29881", "description":"ARTHROSCOPY KNEE SURG; W/MENIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":884.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920262-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY KNEE SURG; W/MENIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29882", "description":"ARTHROSCOPY KNEE SURG; W/MENIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":954.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920263-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCPY KNEE SURG; W/MENISC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29883", "description":"ARTHROSCPY KNEE SURG; W/MENISC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1170.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920264-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY KNEE SURG; W/LYSIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29884", "description":"ARTHROSCOPY KNEE SURG; W/LYSIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":845.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920265-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY KNEE SURG; DRILLIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29885", "description":"ARTHROSCOPY KNEE SURG; DRILLIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1025.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920266-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY KNEE SURG; DRILL-O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29886", "description":"ARTHROSCOPY KNEE SURG; DRILL-O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":864.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920267-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY KNEE; DRILL-OSTEOC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29887", "description":"ARTHROSCOPY KNEE; DRILL-OSTEOC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1020.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920268-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPICALLY AIDED ACL REP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29888", "description":"ARTHROSCOPICALLY AIDED ACL REP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1376.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920269-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPICALLY AIDED PCL REP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29889", "description":"ARTHROSCOPICALLY AIDED PCL REP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1682.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920270-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29891", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":964.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920271-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29892", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":996.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920272-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29893", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":782.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920273-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY ANK SURG; W/REMOV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29894", "description":"ARTHROSCOPY ANK SURG; W/REMOV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":723.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920274-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY ANK SURG; SYNOVECT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29895", "description":"ARTHROSCOPY ANK SURG; SYNOVECT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":705.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920275-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY ANK SURG; DEBRID L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29897", "description":"ARTHROSCOPY ANK SURG; DEBRID L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":737.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920276-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTHROSCOPY ANK SURG; DEBRID E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29898", "description":"ARTHROSCOPY ANK SURG; DEBRID E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":824.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920277-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29899", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1470.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920278-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29900", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":644.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920279-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29901", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":710.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920280-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29902", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":740.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920281-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29904", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":839.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920282-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29905", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":904.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920283-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29906", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":953.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920284-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29907", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1164.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920285-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29914", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920286-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29915", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920287-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"29916", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920288-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE ABSCESS/HEMATOMA-NASA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30000", "description":"DRAINAGE ABSCESS/HEMATOMA-NASA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":273.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920289-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE ABSCESS/HEMATOMA NASA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30020", "description":"DRAINAGE ABSCESS/HEMATOMA NASA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":258.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920290-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3006F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920291-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3008F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920292-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX INTRANASAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30100", "description":"BX INTRANASAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":160.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920293-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC NASAL POLYP SIMPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30110", "description":"EXC NASAL POLYP SIMPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":260.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920294-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC NASAL POLYP EXTEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30115", "description":"EXC NASAL POLYP EXTEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":511.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920295-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/DESTRCT INTRANASAL LES; IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30117", "description":"EXC/DESTRCT INTRANASAL LES; IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":938.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920296-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/DESTRCT INTRANASAL LES; EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30118", "description":"EXC/DESTRCT INTRANASAL LES; EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":926.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920297-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3011F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920298-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/SURG PLANING SKIN NOSE RHI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30120", "description":"EXC/SURG PLANING SKIN NOSE RHI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":604.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920299-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC DERMOID CYST NOSE; SIMPL S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30124", "description":"EXC DERMOID CYST NOSE; SIMPL S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":337.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920300-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC DERMOID CYST NOSE; COMPLX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30125", "description":"EXC DERMOID CYST NOSE; COMPLX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":749.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920301-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TURBINATE PART/COMPLT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30130", "description":"EXC TURBINATE PART/COMPLT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":449.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920302-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUBMUCOUS RESECT TURBINATE PAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30140", "description":"SUBMUCOUS RESECT TURBINATE PAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":505.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920303-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3014F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920304-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RHINECTOMY; PART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30150", "description":"RHINECTOMY; PART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":970.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920305-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3015F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920306-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RHINECTOMY; TOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30160", "description":"RHINECTOMY; TOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":965.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920307-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3016F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920308-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3017F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920309-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3018F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920310-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3019F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920311-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ INTO TURBINATE THERAP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30200", "description":"INJ INTO TURBINATE THERAP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":129.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920312-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3020F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920313-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DISPLACEMENT THERAP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30210", "description":"DISPLACEMENT THERAP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":169.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920314-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3021F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920315-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT NASAL SEPTAL PROSTH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30220", "description":"INSRT NASAL SEPTAL PROSTH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":328.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920316-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3022F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920317-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3023F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920318-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3025F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920319-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3027F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920320-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3028F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920321-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB INTRANASAL; OFFIC TYP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30300", "description":"REMOV FB INTRANASAL; OFFIC TYP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":274.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920322-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB INTRANASAL; REQUIRING", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30310", "description":"REMOV FB INTRANASAL; REQUIRING", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":247.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920323-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB INTRANASAL; BY LAT RH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30320", "description":"REMOV FB INTRANASAL; BY LAT RH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":559.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920324-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3035F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920325-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3037F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920326-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3038F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920327-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RHINOPLASTY PRIM; LAT & ALAR C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30400", "description":"RHINOPLASTY PRIM; LAT & ALAR C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1261.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920328-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3040F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920329-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RHINOPLASTY PRIM; COMPLT-EXT P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30410", "description":"RHINOPLASTY PRIM; COMPLT-EXT P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1526.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920330-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RHINOPLASTY PRIMARY; INCL MAJO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30420", "description":"RHINOPLASTY PRIMARY; INCL MAJO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1664.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920331-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3042F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920332-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RHINOPLASTY SECNDRY; MINOR REV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30430", "description":"RHINOPLASTY SECNDRY; MINOR REV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1126.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920333-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RHINOPLASTY SECNDRY; INTERMED", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30435", "description":"RHINOPLASTY SECNDRY; INTERMED", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1487.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920334-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3044F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920335-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RHINOPLASTY SECNDRY; MAJOR REV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30450", "description":"RHINOPLASTY SECNDRY; MAJOR REV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1935.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920336-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RHINOPLASTY-DEFORM CLEFT LIP;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30460", "description":"RHINOPLASTY-DEFORM CLEFT LIP;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":946.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920337-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RHINOPLASTY-DEFORM CLEFT LIP;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30462", "description":"RHINOPLASTY-DEFORM CLEFT LIP;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1891.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920338-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30465", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1178.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920339-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30468", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920340-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3046F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920341-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3048F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920342-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3049F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920343-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3050F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920344-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3051F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920345-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SEPTOPLASTY/SMR W/WO CARTIL SC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30520", "description":"SEPTOPLASTY/SMR W/WO CARTIL SC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":701.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920346-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3052F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920347-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR CHOANAL ATRESIA; INTRANAS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30540", "description":"REPR CHOANAL ATRESIA; INTRANAS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":830.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920348-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR CHOANAL ATRESIA; TRANSPAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30545", "description":"REPR CHOANAL ATRESIA; TRANSPAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1165.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920349-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3055F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920350-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LYSIS INTRANASAL SYNECHIA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30560", "description":"LYSIS INTRANASAL SYNECHIA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":314.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920351-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3056F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920352-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR FISTULA; OROMAXILLARY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30580", "description":"REPR FISTULA; OROMAXILLARY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":741.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920353-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR FISTULA; ORONASAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30600", "description":"REPR FISTULA; ORONASAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":685.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920354-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3060F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920355-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3061F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920356-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SEPTAL/OTHER INTRANASAL DERMAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30620", "description":"SEPTAL/OTHER INTRANASAL DERMAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":736.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920357-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3062F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920358-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NASAL SEPTAL PERFORATIONS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30630", "description":"REPR NASAL SEPTAL PERFORATIONS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":746.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920359-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3066F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920360-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3072F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920361-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3073F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920362-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3074F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920363-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3075F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920364-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3077F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920365-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3078F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920366-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3079F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920367-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAUT MUCOSA TURBIN UNI-/BILAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30801", "description":"CAUT MUCOSA TURBIN UNI-/BILAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":265.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920368-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAUT MUCOS TURBIN UNI-/BILAT (", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30802", "description":"CAUT MUCOS TURBIN UNI-/BILAT (", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":340.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920369-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3080F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920370-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3082F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920371-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3083F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920372-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3084F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920373-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3085F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920374-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3088F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920375-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3089F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920376-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONTRL NASAL HEMORR-ANT-SIMPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30901", "description":"CONTRL NASAL HEMORR-ANT-SIMPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":126.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920377-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONTRL NASAL HEMORR-ANT-COMPLX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30903", "description":"CONTRL NASAL HEMORR-ANT-COMPLX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":226.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920378-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONTRL NASAL HEMORR-POST-W/PAC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30905", "description":"CONTRL NASAL HEMORR-POST-W/PAC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":283.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920379-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONTRL NASAL HEMORR-POST-W/PAC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30906", "description":"CONTRL NASAL HEMORR-POST-W/PAC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":324.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920380-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3090F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920381-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG ART; ETHMO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30915", "description":"LIG ART; ETHMO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":690.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920382-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3091F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920383-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG ART; INT MAXIL ART TRANSAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30920", "description":"LIG ART; INT MAXIL ART TRANSAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":988.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920384-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3092F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920385-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FX NASAL TURBINATE THERAP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"30930", "description":"FX NASAL TURBINATE THERAP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":145.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920386-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3093F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920387-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3095F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920388-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3096F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920389-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAVAGE BY CANNULATION; MAXIL S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31000", "description":"LAVAGE BY CANNULATION; MAXIL S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":208.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920390-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAVAGE BY CANNULATION; SPHENOI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31002", "description":"LAVAGE BY CANNULATION; SPHENOI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":243.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920391-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3100F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920392-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SINUSOTOMY MAXIL; INTRANASAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31020", "description":"SINUSOTOMY MAXIL; INTRANASAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":576.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920393-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SINUSOTMY MAXIL; RAD WO REMOV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31030", "description":"SINUSOTMY MAXIL; RAD WO REMOV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":844.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920394-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SINUSOTMY MAXIL; RAD W/REMOV A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31032", "description":"SINUSOTMY MAXIL; RAD W/REMOV A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":682.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920395-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PTERYGOMAXILLARY FOSSA SURG AN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31040", "description":"PTERYGOMAXILLARY FOSSA SURG AN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":907.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920396-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SINUSOTOMY SPHENOID W/WO BX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31050", "description":"SINUSOTOMY SPHENOID W/WO BX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":584.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920397-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SINUSOTOMY SPHENOID W/WO BX; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31051", "description":"SINUSOTOMY SPHENOID W/WO BX; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":768.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920398-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SINUSOTOMY FRONTAL; EXT SIMPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31070", "description":"SINUSOTOMY FRONTAL; EXT SIMPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":516.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920399-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SINUSOTOMY FRONTAL; TRANSORBIT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31075", "description":"SINUSOTOMY FRONTAL; TRANSORBIT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":938.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920400-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SINUSOTOMY FRONTAL; OBLIT-W/O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31080", "description":"SINUSOTOMY FRONTAL; OBLIT-W/O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1227.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920401-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SINUSOTOMY FRONTAL; OBLIT WO F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31081", "description":"SINUSOTOMY FRONTAL; OBLIT WO F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1465.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920402-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SINUSOTOMY FRONTAL; OBLIT-W/FL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31084", "description":"SINUSOTOMY FRONTAL; OBLIT-W/FL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1384.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920403-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SINUSOTOMY FRONTAL; OBLIT-W/FL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31085", "description":"SINUSOTOMY FRONTAL; OBLIT-W/FL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1484.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920404-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SINUSOTOMY FRONT; NONOBLIT W/F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31086", "description":"SINUSOTOMY FRONT; NONOBLIT W/F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1345.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920405-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SINUSOTOMY FRONT; NONOBLIT W/F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31087", "description":"SINUSOTOMY FRONT; NONOBLIT W/F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1320.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920406-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SINUSOTOMY COMBO 3/MORE SINUSE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31090", "description":"SINUSOTOMY COMBO 3/MORE SINUSE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1186.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920407-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3110F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920408-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3111F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920409-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3112F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920410-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3115F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920411-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3117F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920412-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3118F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920413-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3119F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920414-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ETHMO; INTRANASAL ANT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31200", "description":"ETHMO; INTRANASAL ANT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":659.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920415-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ETHMO; INTRANASAL TOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31201", "description":"ETHMO; INTRANASAL TOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":876.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920416-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ETHMO; EXTRANASAL TOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31205", "description":"ETHMO; EXTRANASAL TOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1043.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920417-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3120F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920418-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MAXILLECTOMY; WO ORBITAL EXENT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31225", "description":"MAXILLECTOMY; WO ORBITAL EXENT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2175.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920419-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MAXILLECTOMY; W/ORBITAL EXENTE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31230", "description":"MAXILLECTOMY; W/ORBITAL EXENTE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2451.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920420-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL ENDO DX UNILAT/BILAT (SE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31231", "description":"NASAL ENDO DX UNILAT/BILAT (SE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":229.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920421-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL/SINUS ENDO DX W/MAXIL SI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31233", "description":"NASAL/SINUS ENDO DX W/MAXIL SI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":321.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920422-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL/SINUS ENDO DX W/SPHENOID", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31235", "description":"NASAL/SINUS ENDO DX W/SPHENOID", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":370.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920423-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL/SINUS ENDO SURG; W/BX/PO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31237", "description":"NASAL/SINUS ENDO SURG; W/BX/PO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":400.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920424-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL/SINUS ENDO SURG; W/CONTR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31238", "description":"NASAL/SINUS ENDO SURG; W/CONTR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":411.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920425-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL/SINUS ENDO SURG; W/DACRY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31239", "description":"NASAL/SINUS ENDO SURG; W/DACRY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":810.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920426-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL/SINUS ENDO SURG; W/CONCH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31240", "description":"NASAL/SINUS ENDO SURG; W/CONCH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":204.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920427-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NSL/SINS NDSC W/ARTERY LIG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31241", "description":"NSL/SINS NDSC W/ARTERY LIG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920428-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NSL/SINS NDSC TOTAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31253", "description":"NSL/SINS NDSC TOTAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920429-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL/SINUS ENDO-OR; W/PART ET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31254", "description":"NASAL/SINUS ENDO-OR; W/PART ET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":350.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920430-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL/SINUS ENDO-OR; W/TOT ETH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31255", "description":"NASAL/SINUS ENDO-OR; W/TOT ETH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":517.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920431-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL/SINUS ENDO-OR-W/MAXIL AN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31256", "description":"NASAL/SINUS ENDO-OR-W/MAXIL AN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":254.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920432-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NSL/SINS NDSC TOT W/SPHENDT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31257", "description":"NSL/SINS NDSC TOT W/SPHENDT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920433-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NSL/SINS NDSC SPHN TISS RMV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31259", "description":"NSL/SINS NDSC SPHN TISS RMV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920434-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL/SINUS ENDO-OR-W/MAXIL AN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31267", "description":"NASAL/SINUS ENDO-OR-W/MAXIL AN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":409.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920435-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3126F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920436-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL/SINUS ENDO-OR-W/FRONT EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31276", "description":"NASAL/SINUS ENDO-OR-W/FRONT EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":652.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920437-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL/SINUS ENDO SURG W/SPHENO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31287", "description":"NASAL/SINUS ENDO SURG W/SPHENO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":298.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920438-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL/SINUS ENDO W/SPHENOIDOT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31288", "description":"NASAL/SINUS ENDO W/SPHENOIDOT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":345.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920439-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL ENDO SURG REPR CSF LEAK;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31290", "description":"NASAL ENDO SURG REPR CSF LEAK;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1434.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920440-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL ENDO SURG REPR CSF LEAK;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31291", "description":"NASAL ENDO SURG REPR CSF LEAK;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1511.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920441-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL ENDO SURG; MED/INFERIOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31292", "description":"NASAL ENDO SURG; MED/INFERIOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1241.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920442-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL ENDO SURG; MED & INFERIO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31293", "description":"NASAL ENDO SURG; MED & INFERIO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1351.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920443-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NASAL SINUS ENDO SURG; W/OPTIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31294", "description":"NASAL SINUS ENDO SURG; W/OPTIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1554.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920444-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31295", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920445-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31296", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920446-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31297", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920447-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NSL/SINS NDSC W/SINS DILAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31298", "description":"NSL/SINS NDSC W/SINS DILAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920448-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOTOMY; W/REMOV TUMOR/LAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31300", "description":"LARYNGOTOMY; W/REMOV TUMOR/LAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1508.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920449-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3130F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920450-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3132F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920451-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGECTOMY; TOT WO RADICAL N", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31360", "description":"LARYNGECTOMY; TOT WO RADICAL N", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2341.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920452-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGECTOMY; TOT W/RADICAL NE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31365", "description":"LARYNGECTOMY; TOT W/RADICAL NE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2940.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920453-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGECTOMY; SUBTL SUPRAGLOTT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31367", "description":"LARYNGECTOMY; SUBTL SUPRAGLOTT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2575.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920454-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGECTOMY; SUBTL SUPRAGLOTT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31368", "description":"LARYNGECTOMY; SUBTL SUPRAGLOTT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2899.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920455-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART LARYNGECTOMY; HORIZONTAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31370", "description":"PART LARYNGECTOMY; HORIZONTAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2434.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920456-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART LARYNGECTOMY; LATEROVERTI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31375", "description":"PART LARYNGECTOMY; LATEROVERTI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2289.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920457-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART LARYNGECTOMY; ANTEROVERTI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31380", "description":"PART LARYNGECTOMY; ANTEROVERTI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2265.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920458-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART LARYNGECTOMY; ANTERO-LATE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31382", "description":"PART LARYNGECTOMY; ANTERO-LATE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2476.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920459-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PHARYNGOLARYNGECTOMY W/RAD NEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31390", "description":"PHARYNGOLARYNGECTOMY W/RAD NEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3295.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920460-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PHARYNGOLARYNGECTOMY W/RAD NEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31395", "description":"PHARYNGOLARYNGECTOMY W/RAD NEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3524.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920461-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARYTENOIDECTOMY/ARYTENOIDOPEXY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31400", "description":"ARYTENOIDECTOMY/ARYTENOIDOPEXY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1217.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920462-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3140F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920463-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3141F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920464-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EPIGLOTTIDECTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31420", "description":"EPIGLOTTIDECTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1007.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920465-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3142F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920466-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTUBATION ENDOTRACHEAL EMER P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31500", "description":"INTUBATION ENDOTRACHEAL EMER P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":138.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920467-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRACHEOTOMY TUBE CHANGE BEFOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31502", "description":"TRACHEOTOMY TUBE CHANGE BEFOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":44.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920468-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY INDIRECT (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31505", "description":"LARYNGOSCOPY INDIRECT (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":102.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920469-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3150F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920470-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY INDIRECT (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31510", "description":"LARYNGOSCOPY INDIRECT (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":258.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920471-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY INDIRECT (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31511", "description":"LARYNGOSCOPY INDIRECT (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":258.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920472-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY INDIRECT (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31512", "description":"LARYNGOSCOPY INDIRECT (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":256.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920473-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY INDIREC (SEP PRO)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31513", "description":"LARYNGOSCOPY INDIREC (SEP PRO)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":167.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920474-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY DIRECT W/WO TRACH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31515", "description":"LARYNGOSCOPY DIRECT W/WO TRACH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":256.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920475-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY DIRECT W/WO TRACH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31520", "description":"LARYNGOSCOPY DIRECT W/WO TRACH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":195.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920476-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY DIRECT W/WO TRACH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31525", "description":"LARYNGOSCOPY DIRECT W/WO TRACH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":307.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920477-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY DIR W/WO TRACHEOS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31526", "description":"LARYNGOSCOPY DIR W/WO TRACHEOS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":200.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920478-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY DIRECT; W/INSRT O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31527", "description":"LARYNGOSCOPY DIRECT; W/INSRT O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":243.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920479-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY DIR W/WO TRACHEOS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31528", "description":"LARYNGOSCOPY DIR W/WO TRACHEOS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":180.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920480-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY DIR W/WO TRACHEOS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31529", "description":"LARYNGOSCOPY DIR W/WO TRACHEOS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":206.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920481-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY DIRECT OR W/FB RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31530", "description":"LARYNGOSCOPY DIRECT OR W/FB RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":252.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920482-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY DIRECT OR W/FB RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31531", "description":"LARYNGOSCOPY DIRECT OR W/FB RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":273.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920483-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY DIRECT OR W/BX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31535", "description":"LARYNGOSCOPY DIRECT OR W/BX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":241.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920484-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY DIRECT OR W/BX; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31536", "description":"LARYNGOSCOPY DIRECT OR W/BX; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":271.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920485-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY DIR OR W/EXC TUMO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31540", "description":"LARYNGOSCOPY DIR OR W/EXC TUMO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":310.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920486-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY DIR OR W/EXC TUMO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31541", "description":"LARYNGOSCOPY DIR OR W/EXC TUMO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":340.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920487-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31545", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":455.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920488-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31546", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":688.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920489-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31551", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920490-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31552", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920491-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31553", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920492-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31554", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920493-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3155F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920494-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY DIRECT OR W/ARYTE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31560", "description":"LARYNGOSCOPY DIRECT OR W/ARYTE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":401.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920495-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY DIR OR W/ARYTENOI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31561", "description":"LARYNGOSCOPY DIR OR W/ARYTENOI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":437.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920496-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY DIR W/INJ INTO VO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31570", "description":"LARYNGOSCOPY DIR W/INJ INTO VO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":438.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920497-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCP DIR W/INJ VOCAL COR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31571", "description":"LARYNGOSCP DIR W/INJ VOCAL COR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":320.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920498-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31572", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920499-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31573", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920500-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31574", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920501-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY FLEXIBLE FIBEROPT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31575", "description":"LARYNGOSCOPY FLEXIBLE FIBEROPT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":144.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920502-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY FLEXIBLE FIBEROPT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31576", "description":"LARYNGOSCOPY FLEXIBLE FIBEROPT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":275.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920503-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY FLEXIBLE FIBEROPT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31577", "description":"LARYNGOSCOPY FLEXIBLE FIBEROPT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":300.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920504-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY FLEXIBLE FIBEROPT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31578", "description":"LARYNGOSCOPY FLEXIBLE FIBEROPT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":346.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920505-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOSCOPY-FLEX/RIGID FIBERO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31579", "description":"LARYNGOSCOPY-FLEX/RIGID FIBERO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":277.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920506-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOPLASTY; LARYNGEL WEB W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31580", "description":"LARYNGOPLASTY; LARYNGEL WEB W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1448.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920507-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOPLASTY; W/OPEN REDUCTIO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31584", "description":"LARYNGOPLASTY; W/OPEN REDUCTIO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1839.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920508-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGOPLASTY CRICOID SPLIT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31587", "description":"LARYNGOPLASTY CRICOID SPLIT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1183.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920509-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LARYNGEAL REINNERVATION BY NEU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31590", "description":"LARYNGEAL REINNERVATION BY NEU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1090.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920510-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31591", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920511-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31592", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920512-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRACHEOSTOMY PLANNED (SEPART P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31600", "description":"TRACHEOSTOMY PLANNED (SEPART P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":496.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920513-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRACHEOSTOMY PLANNED (SEPART P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31601", "description":"TRACHEOSTOMY PLANNED (SEPART P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":323.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920514-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRACHEOSTOMY EMER PROC; TRANST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31603", "description":"TRACHEOSTOMY EMER PROC; TRANST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":280.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920515-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRACHEOSTOMY EMER PROC; CRICOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31605", "description":"TRACHEOSTOMY EMER PROC; CRICOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":229.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920516-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3160F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920517-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRACHEOSTOMY FENESTRATION PROC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31610", "description":"TRACHEOSTOMY FENESTRATION PROC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":858.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920518-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONSTRUCT TRACHEOESOPHAG FISTU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31611", "description":"CONSTRUCT TRACHEOESOPHAG FISTU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":643.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920519-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRACHEAL PUNCT-PERCUT-W/TRANST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31612", "description":"TRACHEAL PUNCT-PERCUT-W/TRANST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":99.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920520-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRACHEOSTOMA REVIS; SIMPL WO F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31613", "description":"TRACHEOSTOMA REVIS; SIMPL WO F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":533.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920521-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRACHEOSTOMA REVIS; COMPLX W/F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31614", "description":"TRACHEOSTOMA REVIS; COMPLX W/F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":870.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920522-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRACHEOBRONCHOSCOPY THRU ESTAB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31615", "description":"TRACHEOBRONCHOSCOPY THRU ESTAB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":227.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920523-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BRONCHOSCOPY; DX W/WO CELL WAS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31622", "description":"BRONCHOSCOPY; DX W/WO CELL WAS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":407.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920524-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31623", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":448.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920525-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31624", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":416.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920526-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BRONCHOSCOPY; W/BX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31625", "description":"BRONCHOSCOPY; W/BX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":444.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920527-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31626", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920528-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31627", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920529-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BRONCHOSCOPY; W/TRANSBRONCH LU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31628", "description":"BRONCHOSCOPY; W/TRANSBRONCH LU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":531.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920530-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BRONCHOSCOPY; W/TRANSBRONCHIAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31629", "description":"BRONCHOSCOPY; W/TRANSBRONCHIAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":851.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920531-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BRONCHOSCP; W/TRACH/BRONCH DIL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31630", "description":"BRONCHOSCP; W/TRACH/BRONCH DIL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":263.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920532-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BRONCHOSCOPY; W/TRACH DILAT PL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31631", "description":"BRONCHOSCOPY; W/TRACH DILAT PL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":294.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920533-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31632", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":96.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920534-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31633", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":114.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920535-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31634", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920536-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BRONCHOSCOPY; W/REMOV FB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31635", "description":"BRONCHOSCOPY; W/REMOV FB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":461.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920537-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31636", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":288.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920538-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31637", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":102.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920539-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31638", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":322.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920540-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BRONCHOSCOPY; W/EXC TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31640", "description":"BRONCHOSCOPY; W/EXC TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":335.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920541-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BRONCHOSCOPY; W/DESTRCT TUMOR/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31641", "description":"BRONCHOSCOPY; W/DESTRCT TUMOR/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":330.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920542-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31643", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":226.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920543-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BRONCHOSCPY; W/THERAP ASPIRAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31645", "description":"BRONCHOSCPY; W/THERAP ASPIRAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":399.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920544-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BRONCHOSCP; W/THERAP ASPIRAT T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31646", "description":"BRONCHOSCP; W/THERAP ASPIRAT T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":363.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920545-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31647", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920546-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31648", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920547-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31649", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920548-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31651", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920549-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31652", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920550-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31653", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920551-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31654", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920552-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31660", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920553-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31661", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920554-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3170F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920555-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CATH W/BRONCHIAL BRUSH BX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31717", "description":"CATH W/BRONCHIAL BRUSH BX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":455.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920556-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CATH ASPIRAT (SEPART PROC); NA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31720", "description":"CATH ASPIRAT (SEPART PROC); NA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":67.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920557-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CATH ASPIRAT (SEP PRO); TRACHE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31725", "description":"CATH ASPIRAT (SEP PRO); TRACHE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":121.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920558-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSTRACH INTRO INDWELLING TU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31730", "description":"TRANSTRACH INTRO INDWELLING TU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":836.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920559-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRACHEOPLASTY; CERV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31750", "description":"TRACHEOPLASTY; CERV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1615.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920560-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRACHEOPLASTY; TRACHEOPHARYNG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31755", "description":"TRACHEOPLASTY; TRACHEOPHARYNG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2053.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920561-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRACHEOPLASTY; INTRATHORACIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31760", "description":"TRACHEOPLASTY; INTRATHORACIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1696.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920562-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CARINAL RECON", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31766", "description":"CARINAL RECON", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2252.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920563-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BRONCHOPLASTY; GFT REPR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31770", "description":"BRONCHOPLASTY; GFT REPR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1655.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920564-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BRONCHOPLASTY; EXC STENOSIS &", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31775", "description":"BRONCHOPLASTY; EXC STENOSIS &", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1773.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920565-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TRACHEAL STENOSIS & ANASTO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31780", "description":"EXC TRACHEAL STENOSIS & ANASTO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1468.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920566-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TRACHEAL STENOSIS & ANASTO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31781", "description":"EXC TRACHEAL STENOSIS & ANASTO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1772.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920567-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TRACHEAL TUMOR/CARCINOMA;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31785", "description":"EXC TRACHEAL TUMOR/CARCINOMA;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1350.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920568-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TRACHEAL TUMOR/CARCINOMA;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31786", "description":"EXC TRACHEAL TUMOR/CARCINOMA;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1855.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920569-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE TRACHEAL WOUND/INJURY;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31800", "description":"SUTURE TRACHEAL WOUND/INJURY;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":851.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920570-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE TRACHEAL WOUND/INJURY;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31805", "description":"SUTURE TRACHEAL WOUND/INJURY;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1017.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920571-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG CLO TRACHEOSTOMY/FISTULA;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31820", "description":"SURG CLO TRACHEOSTOMY/FISTULA;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":513.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920572-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG CLO TRACHEOSTOMY/FISTULA;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31825", "description":"SURG CLO TRACHEOSTOMY/FISTULA;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":720.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920573-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS TRACHEOSTOMY SCAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"31830", "description":"REVIS TRACHEOSTOMY SCAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":518.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920574-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3200F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920575-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSTOMY; W/RIB RESECT EMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32035", "description":"THORACOSTOMY; W/RIB RESECT EMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":861.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920576-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSTOMY; W/OPEN FLAP-DRAI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32036", "description":"THORACOSTOMY; W/OPEN FLAP-DRAI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":933.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920577-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32096", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920578-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32097", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920579-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32098", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920580-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOTOMY MAJOR; W/EXPLOR &", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32100", "description":"THORACOTOMY MAJOR; W/EXPLOR &", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1193.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920581-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3210F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920582-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOTOMY MAJOR; W/CONTRL TR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32110", "description":"THORACOTOMY MAJOR; W/CONTRL TR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1791.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920583-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOTOMY MAJOR; POSTOP COMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32120", "description":"THORACOTOMY MAJOR; POSTOP COMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1064.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920584-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOTOMY MAJ; W/OPEN INTRAP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32124", "description":"THORACOTOMY MAJ; W/OPEN INTRAP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1130.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920585-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOTOMY MAJ; W/CYST REMOV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32140", "description":"THORACOTOMY MAJ; W/CYST REMOV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1211.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920586-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOTOMY MAJOR; W/EXC-PLICA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32141", "description":"THORACOTOMY MAJOR; W/EXC-PLICA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1771.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920587-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOTOMY MAJOR; W/REMOV INT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32150", "description":"THORACOTOMY MAJOR; W/REMOV INT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1222.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920588-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOTOMY MAJOR; W/REMOV INT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32151", "description":"THORACOTOMY MAJOR; W/REMOV INT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1247.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920589-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3215F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920590-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOTOMY MAJOR; W/CARDIAC M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32160", "description":"THORACOTOMY MAJOR; W/CARDIAC M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":927.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920591-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3216F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920592-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3218F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920593-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PNEUMONOSTOMY W/OPEN DRAINAGE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32200", "description":"PNEUMONOSTOMY W/OPEN DRAINAGE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1365.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920594-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3220F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920595-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLEURAL SCARIFICATION REPEAT P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32215", "description":"PLEURAL SCARIFICATION REPEAT P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":986.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920596-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECORTIC PULM (SEPART PROC); T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32220", "description":"DECORTIC PULM (SEPART PROC); T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1968.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920597-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECORTIC PULM (SEPART PROC); P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32225", "description":"DECORTIC PULM (SEPART PROC); P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1220.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920598-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3230F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920599-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLEURECTOMY, PARIETAL (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32310", "description":"PLEURECTOMY, PARIETAL (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1129.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920600-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECORTIC & PARIETAL PLEURECTOM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32320", "description":"DECORTIC & PARIETAL PLEURECTOM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1964.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920601-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX PLEURA; PERCUT NEEDLE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32400", "description":"BX PLEURA; PERCUT NEEDLE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":192.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920602-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX LUNG/MEDIASTINUM PERCUT NEE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32405", "description":"BX LUNG/MEDIASTINUM PERCUT NEE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":128.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920603-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32408", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920604-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV LUNG TOT PNEUMONECTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32440", "description":"REMOV LUNG TOT PNEUMONECTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1981.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920605-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV LUNG; W/RESECT SEGMT TRA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32442", "description":"REMOV LUNG; W/RESECT SEGMT TRA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3589.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920606-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV LUNG TOT PNEUMONECTOMY;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32445", "description":"REMOV LUNG TOT PNEUMONECTOMY;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4006.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920607-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV LUNG OTHER THAN TOT PNEU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32480", "description":"REMOV LUNG OTHER THAN TOT PNEU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1867.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920608-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV LUNG OTHER THAN TOT PNEU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32482", "description":"REMOV LUNG OTHER THAN TOT PNEU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1990.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920609-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV LUNG OTHER THAN TOT PNEU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32484", "description":"REMOV LUNG OTHER THAN TOT PNEU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1801.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920610-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV LUNG NOT TOT; W/CIRCUM R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32486", "description":"REMOV LUNG NOT TOT; W/CIRCUM R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2806.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920611-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV LUNG; REMAIN LUNG AFTER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32488", "description":"REMOV LUNG; REMAIN LUNG AFTER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2853.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920612-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV LUNG NOT TOT; EXC-PLICAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32491", "description":"REMOV LUNG NOT TOT; EXC-PLICAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1842.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920613-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT & REPR BRONCH @ TIME LO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32501", "description":"RESECT & REPR BRONCH @ TIME LO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":311.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920614-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32503", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2294.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920615-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32504", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2615.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920616-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32505", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920617-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32506", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920618-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32507", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920619-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3250F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920620-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTRAPLEURAL ENUCLEATION EMPYE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32540", "description":"EXTRAPLEURAL ENUCLEATION EMPYE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2003.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920621-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32550", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1078.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920622-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32551", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":226.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920623-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32552", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920624-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32553", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920625-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32554", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920626-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32555", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920627-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32556", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920628-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32557", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920629-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32560", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":397.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920630-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32561", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920631-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32562", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920632-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSCOPY DX (SEP PRO); LUN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32601", "description":"THORACOSCOPY DX (SEP PRO); LUN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":390.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920633-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSCOPY DX (SEP PRO); PER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32604", "description":"THORACOSCOPY DX (SEP PRO); PER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":612.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920634-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSCOPY DX (SEP PRO); MED", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32606", "description":"THORACOSCOPY DX (SEP PRO); MED", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":588.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920635-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32607", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920636-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32608", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920637-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32609", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920638-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3260F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920639-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSCOPY SURG; W/PLEURODES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32650", "description":"THORACOSCOPY SURG; W/PLEURODES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":853.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920640-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSCOPY SURG; W/PART PULM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32651", "description":"THORACOSCOPY SURG; W/PART PULM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1305.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920641-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSCOPY SURG; W/TOT PULM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32652", "description":"THORACOSCOPY SURG; W/TOT PULM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1971.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920642-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSCOPY SURG; W/REMOV INT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32653", "description":"THORACOSCOPY SURG; W/REMOV INT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1265.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920643-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSCOPY SURG; W/CONTRL TR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32654", "description":"THORACOSCOPY SURG; W/CONTRL TR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1393.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920644-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSCOPY SURG; W/EXC-PLICA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32655", "description":"THORACOSCOPY SURG; W/EXC-PLICA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1164.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920645-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSCOPY SURG; W/PARIETAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32656", "description":"THORACOSCOPY SURG; W/PARIETAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1023.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920646-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSCOPY SURG; W/REMOV CLO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32658", "description":"THORACOSCOPY SURG; W/REMOV CLO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":919.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920647-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSCOPY SURG; W/CREAT PER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32659", "description":"THORACOSCOPY SURG; W/CREAT PER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":936.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920648-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3265F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920649-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSCOPY SURG; W/EXC PERIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32661", "description":"THORACOSCOPY SURG; W/EXC PERIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1027.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920650-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSCOPY SURG; W/EXC MEDIA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32662", "description":"THORACOSCOPY SURG; W/EXC MEDIA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1152.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920651-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSCOPY SURG; W/LOBEC TOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32663", "description":"THORACOSCOPY SURG; W/LOBEC TOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1737.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920652-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSCOPY SURG; W/THORACIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32664", "description":"THORACOSCOPY SURG; W/THORACIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1069.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920653-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOSCOPY SURG; W/ESOPHAGOM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32665", "description":"THORACOSCOPY SURG; W/ESOPHAGOM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1486.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920654-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32666", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920655-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32667", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920656-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32668", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920657-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32669", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920658-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3266F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920659-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32670", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920660-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32671", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920661-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32672", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920662-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32673", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920663-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32674", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920664-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3267F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920665-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3268F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920666-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3269F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920667-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32701", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920668-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3270F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920669-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3271F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920670-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3272F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920671-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3273F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920672-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3274F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920673-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3278F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920674-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3279F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920675-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LUNG HERNIA THRU CHEST WA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32800", "description":"REPR LUNG HERNIA THRU CHEST WA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1149.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920676-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3280F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920677-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO CHEST WALL FOLLOWING OPEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32810", "description":"CLO CHEST WALL FOLLOWING OPEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1117.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920678-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPEN CLO MAJOR BRONCHIAL FISTU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32815", "description":"OPEN CLO MAJOR BRONCHIAL FISTU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3166.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920679-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3281F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920680-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MAJOR RECON CHEST WALL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32820", "description":"MAJOR RECON CHEST WALL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1690.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920681-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3284F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920682-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LUNG TRANSPL SNGL; WO CARDIOPU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32851", "description":"LUNG TRANSPL SNGL; WO CARDIOPU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3284.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920683-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LUNG TRANSPL SNGL; W/CARDIOPUL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32852", "description":"LUNG TRANSPL SNGL; W/CARDIOPUL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3668.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920684-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LUNG TRANSPL DBL; WO CARDIOPUL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32853", "description":"LUNG TRANSPL DBL; WO CARDIOPUL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3927.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920685-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LUNG TRANSPL DBL; W/CARDIOPULM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32854", "description":"LUNG TRANSPL DBL; W/CARDIOPULM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4256.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920686-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3285F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920687-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3288F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920688-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT RIBS EXTRAPLEURAL ALL S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32900", "description":"RESECT RIBS EXTRAPLEURAL ALL S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1685.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920689-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOPLASTY SCHEDE TYPE/EXTR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32905", "description":"THORACOPLASTY SCHEDE TYPE/EXTR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1674.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920690-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACOPLASTY; W/CLO BRONCHOPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32906", "description":"THORACOPLASTY; W/CLO BRONCHOPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2066.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920691-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3290F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920692-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3291F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920693-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3292F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920694-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3293F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920695-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PNEUMOLYSIS EXTRAPERIOSTEAL IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32940", "description":"PNEUMOLYSIS EXTRAPERIOSTEAL IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1532.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920696-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3294F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920697-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PNEUMOTHORAX THERAP-INTRAPLEUR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32960", "description":"PNEUMOTHORAX THERAP-INTRAPLEUR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":175.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920698-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ABLATE PULM TUMOR PERQ CRYB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32994", "description":"ABLATE PULM TUMOR PERQ CRYB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920699-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32997", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":452.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920700-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"32998", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3778.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920701-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3300F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920702-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33016", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920703-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33017", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920704-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33018", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920705-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33019", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920706-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3301F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920707-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERICARDIOTOMY REMOV CLOT/FB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33020", "description":"PERICARDIOTOMY REMOV CLOT/FB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1200.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920708-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CREATION PERICARDIAL WINDOW/PA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33025", "description":"CREATION PERICARDIAL WINDOW/PA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1110.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920709-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERICARDIECTOMY SUBTL/COMPLT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33030", "description":"PERICARDIECTOMY SUBTL/COMPLT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1774.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920710-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERICARDIECTOMY SUBTL/COMPLT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33031", "description":"PERICARDIECTOMY SUBTL/COMPLT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1967.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920711-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC PERICARDIAL CYST/TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33050", "description":"EXC PERICARDIAL CYST/TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1372.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920712-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC INTRACARDIAC TUMOR RESECT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33120", "description":"EXC INTRACARDIAC TUMOR RESECT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2164.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920713-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT EXT CARDIAC TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33130", "description":"RESECT EXT CARDIAC TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1895.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920714-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33140", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2155.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920715-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33141", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":222.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920716-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3315F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920717-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3316F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920718-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3317F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920719-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3318F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920720-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3319F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920721-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33202", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1079.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920722-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33203", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1111.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920723-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT/REPLAC PERM PACEMKR W/TR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33206", "description":"INSRT/REPLAC PERM PACEMKR W/TR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":663.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920724-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT/REPLAC PERM PACEMAKER W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33207", "description":"INSRT/REPLAC PERM PACEMAKER W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":709.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920725-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT/REPLAC PERM PACEMAKER; A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33208", "description":"INSRT/REPLAC PERM PACEMAKER; A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":761.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920726-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3320F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920727-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT/REPLAC TEMP SNGL CHMBR E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33210", "description":"INSRT/REPLAC TEMP SNGL CHMBR E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":259.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920728-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT/REPLAC TEMP TRANSVEN DUA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33211", "description":"INSRT/REPLAC TEMP TRANSVEN DUA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":264.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920729-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT/REPLAC PACEMKR PULSE GEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33212", "description":"INSRT/REPLAC PACEMKR PULSE GEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":496.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920730-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT/REPLAC PACEMKR PULSE GEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33213", "description":"INSRT/REPLAC PACEMKR PULSE GEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":565.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920731-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UPGRADE IMPLNT PACEMAKER SYST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33214", "description":"UPGRADE IMPLNT PACEMAKER SYST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":708.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920732-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33215", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":451.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920733-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT/REPLAC/REPOSIT PERM ELEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33216", "description":"INSRT/REPLAC/REPOSIT PERM ELEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":556.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920734-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT/REPLAC/REPOSIT PERM ELEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33217", "description":"INSRT/REPLAC/REPOSIT PERM ELEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":553.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920735-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR PACEMAKER ELECT; 1 CHAMBE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33218", "description":"REPR PACEMAKER ELECT; 1 CHAMBE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":576.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920736-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3321F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920737-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR PACEMAKER ELECTRODE ONLY;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33220", "description":"REPR PACEMAKER ELECTRODE ONLY;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":578.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920738-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33221", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920739-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS/RELOCAT SKIN POCKET-PACE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33222", "description":"REVIS/RELOCAT SKIN POCKET-PACE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":513.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920740-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS/RELOCAT SKIN POCKT IMPLN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33223", "description":"REVIS/RELOCAT SKIN POCKT IMPLN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":615.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920741-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33224", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":734.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920742-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33225", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":658.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920743-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33226", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":708.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920744-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33227", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920745-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33228", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920746-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33229", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920747-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3322F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920748-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33230", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920749-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33231", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920750-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV PERM PACEMAKER PULSE GEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33233", "description":"REMOV PERM PACEMAKER PULSE GEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":362.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920751-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV TRANSVEN PACEMKR ELECTRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33234", "description":"REMOV TRANSVEN PACEMKR ELECTRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":715.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920752-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV TRANSVEN PACEMKR ELECTRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33235", "description":"REMOV TRANSVEN PACEMKR ELECTRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":930.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920753-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV PERM EPICARD PACEMKR-THO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33236", "description":"REMOV PERM EPICARD PACEMKR-THO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1099.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920754-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV PERM EPICARD PACEMKR-THO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33237", "description":"REMOV PERM EPICARD PACEMKR-THO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1207.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920755-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV PERM TRANSVENOUS ELECTRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33238", "description":"REMOV PERM TRANSVENOUS ELECTRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1315.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920756-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3323F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920757-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT/REPLAC IMPLNT CARDIOVERT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33240", "description":"INSRT/REPLAC IMPLNT CARDIOVERT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":682.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920758-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV IMPLNT CARDIOVERTER-DEFI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33241", "description":"REMOV IMPLNT CARDIOVERTER-DEFI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":340.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920759-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV IMPLNT CARDIOVERT-DEFIB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33243", "description":"REMOV IMPLNT CARDIOVERT-DEFIB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1910.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920760-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV IMPLNT CARDIOVERT-DEFIB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33244", "description":"REMOV IMPLNT CARDIOVERT-DEFIB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1261.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920761-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT/REPLAC IMPLNT NOT THORAC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33249", "description":"INSRT/REPLAC IMPLNT NOT THORAC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1319.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920762-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3324F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920763-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OR ABLAT SUPRAVENT ARRHYTH FOC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33250", "description":"OR ABLAT SUPRAVENT ARRHYTH FOC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2058.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920764-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OR ABLATION SUPRAVENT ARRHYTH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33251", "description":"OR ABLATION SUPRAVENT ARRHYTH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2250.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920765-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33254", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1884.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920766-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33255", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2270.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920767-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33256", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2707.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920768-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33257", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":834.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920769-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33258", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":941.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920770-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33259", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1229.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920771-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3325F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920772-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPER ABLATION VENT ARRHYTH FOC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33261", "description":"OPER ABLATION VENT ARRHYTH FOC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2267.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920773-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33262", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920774-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33263", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920775-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33264", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920776-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33265", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1884.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920777-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33266", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2575.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920778-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33267", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920779-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33268", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920780-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33269", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920781-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33270", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920782-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33271", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920783-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33272", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920784-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33273", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920785-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33274", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920786-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33275", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920787-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33285", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920788-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33286", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920789-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33289", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920790-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3328F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920791-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR CARDIAC WOUND; WO BYPASS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33300", "description":"REPR CARDIAC WOUND; WO BYPASS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3095.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920792-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR CARDIAC WOUND; W/CARDIOPU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33305", "description":"REPR CARDIAC WOUND; W/CARDIOPU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":5085.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920793-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3330F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920794-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CARDIOTOMY EXPLOR; WO BYPASS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33310", "description":"CARDIOTOMY EXPLOR; WO BYPASS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1639.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920795-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CARDIOTOMY EXPLOR; W/CARDIOPUL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33315", "description":"CARDIOTOMY EXPLOR; W/CARDIOPUL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2057.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920796-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3331F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920797-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE REPR AORTA/GRT VESSELS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33320", "description":"SUTURE REPR AORTA/GRT VESSELS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1481.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920798-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE REPR AORTA/GRT VESSELS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33321", "description":"SUTURE REPR AORTA/GRT VESSELS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1681.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920799-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE REPR AORTA/GRT VESSELS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33322", "description":"SUTURE REPR AORTA/GRT VESSELS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1914.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920800-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT GFT AORTA/GRT VESSELS; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33330", "description":"INSRT GFT AORTA/GRT VESSELS; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1954.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920801-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT GFT AORTA/GRT VESSELS; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33335", "description":"INSRT GFT AORTA/GRT VESSELS; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2621.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920802-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33340", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920803-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33361", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920804-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33362", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920805-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33363", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920806-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33364", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920807-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33365", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920808-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33366", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920809-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33367", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920810-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33368", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920811-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33369", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920812-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33370", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920813-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33390", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920814-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33391", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920815-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONSTRUCTION APICAL-AORTIC CON", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33404", "description":"CONSTRUCTION APICAL-AORTIC CON", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2511.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920816-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLAC AORTIC VALV W/CP BYPASS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33405", "description":"REPLAC AORTIC VALV W/CP BYPASS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3252.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920817-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLAC AORTIC VALV W/CP BYPASS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33406", "description":"REPLAC AORTIC VALV W/CP BYPASS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3959.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920818-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3340F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920819-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33410", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3484.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920820-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLAC AORTIC VALV; W/AORTIC A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33411", "description":"REPLAC AORTIC VALV; W/AORTIC A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4511.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920821-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLAC AORTIC VALV; W/TRANSVEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33412", "description":"REPLAC AORTIC VALV; W/TRANSVEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3513.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920822-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLAC AORTIC VALV; TRANSLOCAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33413", "description":"REPLAC AORTIC VALV; TRANSLOCAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4561.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920823-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LT VENT OUTFLM OBSTRUC-PA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33414", "description":"REPR LT VENT OUTFLM OBSTRUC-PA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2988.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920824-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT/INCS SUBVALVULAR TISS-A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33415", "description":"RESECT/INCS SUBVALVULAR TISS-A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2774.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920825-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENTRICULOMYOTOMY-IDIOPATHIC S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33416", "description":"VENTRICULOMYOTOMY-IDIOPATHIC S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2793.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920826-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AORTOPLASTY SUPRAVALVULAR STEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33417", "description":"AORTOPLASTY SUPRAVALVULAR STEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2361.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920827-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33418", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920828-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33419", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920829-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3341F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920830-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VALVOTOMY MITRAL VALV; CLO HEA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33420", "description":"VALVOTOMY MITRAL VALV; CLO HEA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1924.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920831-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VALVOTOMY MITRAL VALV; OPEN HE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33422", "description":"VALVOTOMY MITRAL VALV; OPEN HE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2369.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920832-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VALVULOPLASTY-MITRAL W/CP BYPA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33425", "description":"VALVULOPLASTY-MITRAL W/CP BYPA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3578.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920833-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VALVULOPLASTY-MITRAL W/CP BYPA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33426", "description":"VALVULOPLASTY-MITRAL W/CP BYPA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3329.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920834-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VALVULOPLASTY-MITRAL W/CP BYPA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33427", "description":"VALVULOPLASTY-MITRAL W/CP BYPA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3507.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920835-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3342F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920836-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLAC MITRAL VALV W/CARDIOPUL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33430", "description":"REPLAC MITRAL VALV W/CARDIOPUL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3807.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920837-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3343F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920838-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33440", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920839-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3344F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920840-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3345F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920841-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VALVECTOMY TRICUSPID VALV; W/C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33460", "description":"VALVECTOMY TRICUSPID VALV; W/C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3157.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920842-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VALVULOPLASTY TRICUSPID VALV;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33463", "description":"VALVULOPLASTY TRICUSPID VALV;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3995.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920843-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VALVULOPLASTY TRICUSPID VALV;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33464", "description":"VALVULOPLASTY TRICUSPID VALV;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3269.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920844-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLAC TRICUSPID VALV W/CP BYP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33465", "description":"REPLAC TRICUSPID VALV W/CP BYP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3628.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920845-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRICUSPID VALV REPOSIT & PLICA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33468", "description":"TRICUSPID VALV REPOSIT & PLICA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2648.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920846-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VALVOTOMY PULM VALV; CLO HEART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33470", "description":"VALVOTOMY PULM VALV; CLO HEART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1657.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920847-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VALVOTOMY PULM VALV CLO HEART;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33471", "description":"VALVOTOMY PULM VALV CLO HEART;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1896.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920848-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VALVOTOMY PULM VALV OPEN HEART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33474", "description":"VALVOTOMY PULM VALV OPEN HEART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2811.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920849-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLAC PULM VALV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33475", "description":"REPLAC PULM VALV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3212.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920850-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RT VENTRIC RESECT-INFUNDIB STE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33476", "description":"RT VENTRIC RESECT-INFUNDIB STE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2074.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920851-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33477", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920852-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OUTFLOW TRACT AUGMEN W/WO COMM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33478", "description":"OUTFLOW TRACT AUGMEN W/WO COMM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2226.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920853-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33496", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2349.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920854-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR CORONARY AV CHAMBER FISTU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33500", "description":"REPR CORONARY AV CHAMBER FISTU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2204.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920855-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR CORONARY AV CHAMBER FISTU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33501", "description":"REPR CORONARY AV CHAMBER FISTU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1526.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920856-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR ANOMALOUS CORONARY ART; L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33502", "description":"REPR ANOMALOUS CORONARY ART; L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1797.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920857-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANOMALOUS CORONARY ART; GFT WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33503", "description":"ANOMALOUS CORONARY ART; GFT WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1830.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920858-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANOMALOUS CORONARY ART; GFT W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33504", "description":"ANOMALOUS CORONARY ART; GFT W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2053.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920859-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR ANOMALOUS CORON ART; CONS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33505", "description":"REPR ANOMALOUS CORON ART; CONS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2843.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920860-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR ANOMALOUS CORON ART; TRNS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33506", "description":"REPR ANOMALOUS CORON ART; TRNS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2883.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920861-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33507", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2457.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920862-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33508", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":23.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920863-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33509", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920864-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3350F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920865-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORON ART BYPASS-VEIN ONLY; 1", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33510", "description":"CORON ART BYPASS-VEIN ONLY; 1", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2777.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920866-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORON ART BYPASS-VEIN ONLY; 2", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33511", "description":"CORON ART BYPASS-VEIN ONLY; 2", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3016.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920867-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORON ART BYPASS-VEIN ONLY; 3", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33512", "description":"CORON ART BYPASS-VEIN ONLY; 3", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3371.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920868-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORON ART BYPASS-VEIN ONLY; 4", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33513", "description":"CORON ART BYPASS-VEIN ONLY; 4", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3468.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920869-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORON ART BYPASS-VEIN ONLY; 5", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33514", "description":"CORON ART BYPASS-VEIN ONLY; 5", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3639.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920870-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORON ART BYPASS-VEIN ONLY; 6/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33516", "description":"CORON ART BYPASS-VEIN ONLY; 6/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3776.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920871-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORON ART BYPASS W/VENOUS & AR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33517", "description":"CORON ART BYPASS W/VENOUS & AR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":254.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920872-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORON ART BYPASS W/VENOUS & AR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33518", "description":"CORON ART BYPASS W/VENOUS & AR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":546.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920873-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORON ART BYPASS W/VENOUS & AR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33519", "description":"CORON ART BYPASS W/VENOUS & AR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":732.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920874-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3351F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920875-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORON ART BYPASS W/VENOUS & AR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33521", "description":"CORON ART BYPASS W/VENOUS & AR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":892.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920876-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORON ART BYPASS W/VENOUS & AR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33522", "description":"CORON ART BYPASS W/VENOUS & AR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1020.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920877-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORON ART BYPASS W/VENOUS & AR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33523", "description":"CORON ART BYPASS W/VENOUS & AR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1168.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920878-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3352F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920879-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REOPERAT CAB/VALVE PROC > 1 MO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33530", "description":"REOPERAT CAB/VALVE PROC > 1 MO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":691.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920880-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORONARY ART BYPASS W/ART GFT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33533", "description":"CORONARY ART BYPASS W/ART GFT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2712.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920881-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORON ART BYPASS W/ART GFT; 2", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33534", "description":"CORON ART BYPASS W/ART GFT; 2", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3130.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920882-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORON ART BYPASS W/ART GFT; 3", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33535", "description":"CORON ART BYPASS W/ART GFT; 3", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3448.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920883-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORON ART BYPASS W/ART GFT; 4/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33536", "description":"CORON ART BYPASS W/ART GFT; 4/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3687.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920884-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3353F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920885-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MYOCARDIAL RESECT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33542", "description":"MYOCARDIAL RESECT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3477.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920886-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR POSTINFARCT VENT SEPTAL D", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33545", "description":"REPR POSTINFARCT VENT SEPTAL D", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4129.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920887-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33548", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4066.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920888-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3354F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920889-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORONARY ENDARTERECT-OP-PERFMD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33572", "description":"CORONARY ENDARTERECT-OP-PERFMD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":330.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920890-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO ATRIOVENTRICULAR VALV-SUTU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33600", "description":"CLO ATRIOVENTRICULAR VALV-SUTU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2405.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920891-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO SEMILUNAR VALV-SUTURE/PATC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33602", "description":"CLO SEMILUNAR VALV-SUTURE/PATC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2304.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920892-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANASTOM PULM ART TO AORTA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33606", "description":"ANASTOM PULM ART TO AORTA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2494.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920893-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR COMPLX CARDIAC ANOMALY NO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33608", "description":"REPR COMPLX CARDIAC ANOMALY NO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2562.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920894-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR COMPLX CARD ANOMAL-SURG E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33610", "description":"REPR COMPLX CARD ANOMAL-SURG E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2536.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920895-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR DBL OUTLET RT VENT W/INTR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33611", "description":"REPR DBL OUTLET RT VENT W/INTR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2731.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920896-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR DBL OUTLET RT VENT; W/REP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33612", "description":"REPR DBL OUTLET RT VENT; W/REP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2898.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920897-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR CARD ANOMAL-CLO ATRIAL SE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33615", "description":"REPR CARD ANOMAL-CLO ATRIAL SE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2755.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920898-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR COMPLX CARDIAL ANOMALIES-", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33617", "description":"REPR COMPLX CARDIAL ANOMALIES-", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3053.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920899-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR 1 VENT W/AORTIC OBSTRUC &", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33619", "description":"REPR 1 VENT W/AORTIC OBSTRUC &", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3826.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920900-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33620", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920901-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33621", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920902-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33622", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920903-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR ATRIAL SEPTAL DEFECT SECU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33641", "description":"REPR ATRIAL SEPTAL DEFECT SECU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2212.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920904-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIRECT/PATCH CLO-SINUS VENOSUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33645", "description":"DIRECT/PATCH CLO-SINUS VENOSUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2208.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920905-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR ATRIAL & VENTRIC SEPTAL D", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33647", "description":"REPR ATRIAL & VENTRIC SEPTAL D", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2375.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920906-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR INCOMPL/PART ATRIOVENT CA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33660", "description":"REPR INCOMPL/PART ATRIOVENT CA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2508.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920907-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR INTERMED/TRANSIT ATRIOVEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33665", "description":"REPR INTERMED/TRANSIT ATRIOVEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2667.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920908-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR COMPLT ATRIOVENT CANAL W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33670", "description":"REPR COMPLT ATRIOVENT CANAL W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2861.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920909-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33675", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2911.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920910-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33676", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2996.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920911-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33677", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3115.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920912-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO VENTRICULAR SEPTAL DEFECT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33681", "description":"CLO VENTRICULAR SEPTAL DEFECT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2590.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920913-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO VENT SEPTAL DEFECT W/WO PA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33684", "description":"CLO VENT SEPTAL DEFECT W/WO PA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2645.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920914-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO VSD W/WO PATCH; W/REMOV PU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33688", "description":"CLO VSD W/WO PATCH; W/REMOV PU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2579.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920915-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BANDING PULM ART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33690", "description":"BANDING PULM ART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1639.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920916-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COMPLT REPR TETRALOGY FALLOT W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33692", "description":"COMPLT REPR TETRALOGY FALLOT W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2719.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920917-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COMPLT REPR TETRALOGY WO PULM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33694", "description":"COMPLT REPR TETRALOGY WO PULM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2702.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920918-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COMPLT REPR TETRALOGY FALLOT W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33697", "description":"COMPLT REPR TETRALOGY FALLOT W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2972.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920919-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR SINUS VALSALVA FISTULA W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33702", "description":"REPR SINUS VALSALVA FISTULA W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2177.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920920-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3370F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920921-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR SINUS FISTULA W/BYPASS; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33710", "description":"REPR SINUS FISTULA W/BYPASS; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2428.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920922-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR SINUS VALSALVA ANEURY W/C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33720", "description":"REPR SINUS VALSALVA ANEURY W/C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2181.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920923-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO AORTICO-LT VENTRICULAR TUN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33722", "description":"CLO AORTICO-LT VENTRICULAR TUN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2230.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920924-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33724", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2147.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920925-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33726", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2834.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920926-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3372F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920927-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COMPLT REPR ANOMALOUS VENOUS R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33730", "description":"COMPLT REPR ANOMALOUS VENOUS R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2795.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920928-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR COR TRIATRIATUM/SUPRAVALV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33732", "description":"REPR COR TRIATRIATUM/SUPRAVALV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2346.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920929-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ATRIAL SEPTECTOMY/SEPTOSTOMY;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33735", "description":"ATRIAL SEPTECTOMY/SEPTOSTOMY;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1765.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920930-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ATRIAL SEPTECT/SEPTOST; OPEN H", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33736", "description":"ATRIAL SEPTECT/SEPTOST; OPEN H", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2026.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920931-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ATRIAL SEPTEC/SEPTOS; OPEN HEA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33737", "description":"ATRIAL SEPTEC/SEPTOS; OPEN HEA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1830.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920932-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33741", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920933-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33745", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920934-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33746", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920935-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3374F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920936-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SHUNT; SUBCLAVIAN PULM ART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33750", "description":"SHUNT; SUBCLAVIAN PULM ART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1729.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920937-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SHUNT; ASCENDING AORTA PULM AR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33755", "description":"SHUNT; ASCENDING AORTA PULM AR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1740.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920938-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SHUNT; DESCENDING AORTA PULM A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33762", "description":"SHUNT; DESCENDING AORTA PULM A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1798.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920939-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SHUNT; CENTRAL W/PROSTH GFT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33764", "description":"SHUNT; CENTRAL W/PROSTH GFT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1803.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920940-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SHUNT; SUPER VENA CAVA-PULM AR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33766", "description":"SHUNT; SUPER VENA CAVA-PULM AR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1904.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920941-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SHUNT; SUPER VENA CAVA-PULM AR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33767", "description":"SHUNT; SUPER VENA CAVA-PULM AR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2001.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920942-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33768", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":582.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920943-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3376F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920944-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR TRANSPOSIT GRT ART; WO SU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33770", "description":"REPR TRANSPOSIT GRT ART; WO SU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2965.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920945-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR TRANSPOSIT GRT ART; W/SUR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33771", "description":"REPR TRANSPOSIT GRT ART; W/SUR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3013.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920946-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR TRANSPOSIT GR ART-ATRIAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33774", "description":"REPR TRANSPOSIT GR ART-ATRIAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2552.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920947-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR TRANSPOSIT W/CP BYPASS; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33775", "description":"REPR TRANSPOSIT W/CP BYPASS; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2576.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920948-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR TRANSPOSIT GR ART; W/CLO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33776", "description":"REPR TRANSPOSIT GR ART; W/CLO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2694.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920949-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR TRANSPOSIT GRT ART; W/REP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33777", "description":"REPR TRANSPOSIT GRT ART; W/REP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2666.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920950-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR TRANSPOSIT GRT ART AORTIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33778", "description":"REPR TRANSPOSIT GRT ART AORTIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3314.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920951-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR TRANSPOSIT-AORTIC PULM RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33779", "description":"REPR TRANSPOSIT-AORTIC PULM RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3113.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920952-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR TRANSPOSIT-AORTIC PULM RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33780", "description":"REPR TRANSPOSIT-AORTIC PULM RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3298.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920953-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR TRANSPOSIT-AORTIC PULM; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33781", "description":"REPR TRANSPOSIT-AORTIC PULM; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3129.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920954-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33782", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920955-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33783", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920956-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TOT REPR TRUNCUS ARTERIOSUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33786", "description":"TOT REPR TRUNCUS ARTERIOSUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3223.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920957-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REIMPLANTATION AN ANOMALOUS PU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33788", "description":"REIMPLANTATION AN ANOMALOUS PU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2118.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920958-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3378F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920959-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AORTIC SUSPEN-TRACHEAL DECOMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33800", "description":"AORTIC SUSPEN-TRACHEAL DECOMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1396.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920960-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIVISION ABERRANT VESSEL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33802", "description":"DIVISION ABERRANT VESSEL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1503.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920961-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIVISION ABERRANT VESSEL; W/RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33803", "description":"DIVISION ABERRANT VESSEL; W/RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1609.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920962-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3380F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920963-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OBLIT AORTOPULM SEPTAL DEFECT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33813", "description":"OBLIT AORTOPULM SEPTAL DEFECT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1760.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920964-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OBLIT AORTOPULM SEPTAL DEFECT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33814", "description":"OBLIT AORTOPULM SEPTAL DEFECT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2147.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920965-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR PATENT DUCTUS ARTERIOSUS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33820", "description":"REPR PATENT DUCTUS ARTERIOSUS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1370.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920966-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR PATENT DUCTUS ARTERIOSUS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33822", "description":"REPR PATENT DUCTUS ARTERIOSUS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1422.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920967-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR PATENT DUCTUS ARTERIOSUS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33824", "description":"REPR PATENT DUCTUS ARTERIOSUS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1656.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920968-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3382F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920969-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC COARCTATION AORTA; W/DIREC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33840", "description":"EXC COARCTATION AORTA; W/DIREC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1721.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920970-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC COARCTATION AORTA W/WO PAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33845", "description":"EXC COARCTATION AORTA W/WO PAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1870.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920971-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3384F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920972-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC COARCTAT AORTA; REPR W/LT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33851", "description":"EXC COARCTAT AORTA; REPR W/LT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1789.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920973-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR HYPOPLASTIC/INTERRUP AORT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33852", "description":"REPR HYPOPLASTIC/INTERRUP AORT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2060.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920974-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR HYPOPLASTIC AORTIC ARCH W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33853", "description":"REPR HYPOPLASTIC AORTIC ARCH W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2588.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920975-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33858", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920976-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33859", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920977-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ASCEND AORTA GFT; W/CP BYPAS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33863", "description":"ASCEND AORTA GFT; W/CP BYPAS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4340.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920978-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33864", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4466.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920979-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33866", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920980-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3386F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920981-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33871", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920982-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESCENDING THORACIC AORTA GFT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33875", "description":"DESCENDING THORACIC AORTA GFT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2774.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920983-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR THORACOABD AORTIC ANEURY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33877", "description":"REPR THORACOABD AORTIC ANEURY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4816.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920984-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33880", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2562.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920985-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33881", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2211.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920986-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33883", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1618.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920987-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33884", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":585.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920988-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33886", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1401.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920989-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33889", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1158.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920990-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3388F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920991-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33891", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1488.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920992-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33894", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920993-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33895", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920994-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33897", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920995-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3390F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920996-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PULM ART EMBOLECTOMY; W/CARDIO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33910", "description":"PULM ART EMBOLECTOMY; W/CARDIO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2298.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920997-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PULM ART EMBOLECTOMY; WO CP BY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33915", "description":"PULM ART EMBOLECTOMY; WO CP BY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1858.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920998-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PULM ENDARTERECTOMY W/WO EMBOL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33916", "description":"PULM ENDARTERECTOMY W/WO EMBOL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2213.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73920999-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR PULM ART STENOSIS-RECON W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33917", "description":"REPR PULM ART STENOSIS-RECON W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2052.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921000-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR PULM ATRESIA-CONSTRUCT/RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33920", "description":"REPR PULM ATRESIA-CONSTRUCT/RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2492.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921001-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSECT PULM ART W/CP BYPASS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33922", "description":"TRANSECT PULM ART W/CP BYPASS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1946.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921002-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG & TAKEDOWN SYST-TO-PULM AR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33924", "description":"LIG & TAKEDOWN SYST-TO-PULM AR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":409.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921003-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33925", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2647.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921004-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33926", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3440.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921005-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPLT J TOT RPLCMT HRT SYS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33927", "description":"IMPLT J TOT RPLCMT HRT SYS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921006-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HEART-LUNG TRANSPL W/RECIPIENT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33935", "description":"HEART-LUNG TRANSPL W/RECIPIENT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4956.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921007-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HEART TRANSPL W/WO RECIPIENT C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33945", "description":"HEART TRANSPL W/WO RECIPIENT C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":6276.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921008-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33946", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921009-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33947", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921010-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33948", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921011-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33949", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921012-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3394F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921013-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33951", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921014-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33952", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921015-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33953", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921016-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33954", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921017-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33955", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921018-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33956", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921019-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33957", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921020-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33958", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921021-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33959", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921022-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3395F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921023-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33962", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921024-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33963", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921025-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33964", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921026-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33965", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921027-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33966", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921028-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33967", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":381.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921029-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33968", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":48.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921030-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33969", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921031-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT INTRA-AORTIC BALLOON ASS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33970", "description":"INSRT INTRA-AORTIC BALLOON ASS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":513.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921032-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV INTRA-AORTIC BALLOON ASS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33971", "description":"REMOV INTRA-AORTIC BALLOON ASS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":995.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921033-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT INTRA-AORT BALOON ASSIST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33973", "description":"INSRT INTRA-AORT BALOON ASSIST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":752.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921034-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV INTRA-AORTIC BALLOON DEV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33974", "description":"REMOV INTRA-AORTIC BALLOON DEV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1269.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921035-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPLNT VENTRIC ASSIST DEVICE;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33975", "description":"IMPLNT VENTRIC ASSIST DEVICE;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1546.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921036-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPLNT VENTRIC ASSIST DEVICE;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33976", "description":"IMPLNT VENTRIC ASSIST DEVICE;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1729.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921037-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV VENTRIC ASSIST DEVICE; 1", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33977", "description":"REMOV VENTRIC ASSIST DEVICE; 1", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1709.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921038-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV VENTRIC ASSIST DEVICE; B", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33978", "description":"REMOV VENTRIC ASSIST DEVICE; B", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1900.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921039-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33979", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3413.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921040-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33980", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":5010.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921041-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33981", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921042-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33982", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921043-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33983", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921044-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33984", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921045-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33985", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921046-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33986", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921047-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33987", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921048-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33988", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921049-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33989", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921050-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33990", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921051-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33991", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921052-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33992", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921053-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33993", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921054-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33995", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921055-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"33997", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921056-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EMBOLECT/THROMBEC; CAROTID ART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34001", "description":"EMBOLECT/THROMBEC; CAROTID ART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1350.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921057-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EMBOLECT/THROMBEC; INNOMINATE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34051", "description":"EMBOLECT/THROMBEC; INNOMINATE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1377.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921058-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EMBOLECT/THROMBEC; AXILRY/BRAC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34101", "description":"EMBOLECT/THROMBEC; AXILRY/BRAC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":881.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921059-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EMBOLECT/THROMBEC; RADIAL/ULNA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34111", "description":"EMBOLECT/THROMBEC; RADIAL/ULNA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":880.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921060-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EMBOLECT/THROMBEC; RENAL/CELIA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34151", "description":"EMBOLECT/THROMBEC; RENAL/CELIA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2025.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921061-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EMBOLECT/THROMBEC; FEMPOP ART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34201", "description":"EMBOLECT/THROMBEC; FEMPOP ART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1388.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921062-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EMBOLECT/THROMBEC; POP-TIBIO-P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34203", "description":"EMBOLECT/THROMBEC; POP-TIBIO-P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1404.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921063-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THROMBEC DIRECT OR W/CATH; VEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34401", "description":"THROMBEC DIRECT OR W/CATH; VEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2033.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921064-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THROMBEC DIRECT OR W/CATH; VEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34421", "description":"THROMBEC DIRECT OR W/CATH; VEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1063.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921065-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THROMBEC; VENA CAVA BY ABD & L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34451", "description":"THROMBEC; VENA CAVA BY ABD & L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2188.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921066-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THROMBEC DIREC OR W/CATH; SUBC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34471", "description":"THROMBEC DIREC OR W/CATH; SUBC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1496.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921067-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THROMBEC; AXILRY & SUBCLAV BY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34490", "description":"THROMBEC; AXILRY & SUBCLAV BY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":883.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921068-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VALVULOPLASTY FEMORAL VEIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34501", "description":"VALVULOPLASTY FEMORAL VEIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1366.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921069-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON VENA CAVA ANY METHD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34502", "description":"RECON VENA CAVA ANY METHD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2205.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921070-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3450F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921071-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENOUS VALVE TRANSPOSITION ANY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34510", "description":"VENOUS VALVE TRANSPOSITION ANY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1579.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921072-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3451F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921073-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CROSS-OVER VEIN GFT TO VENOUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34520", "description":"CROSS-OVER VEIN GFT TO VENOUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1499.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921074-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3452F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921075-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SAPHENOPOPLITEAL VEIN ANASTOM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34530", "description":"SAPHENOPOPLITEAL VEIN ANASTOM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1410.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921076-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3455F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921077-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EVASC RPR A-AO NDGFT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34701", "description":"EVASC RPR A-AO NDGFT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921078-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EVASC RPR A-AO NDGFT RPT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34702", "description":"EVASC RPR A-AO NDGFT RPT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921079-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EVASC RPR A-UNILAC NDGFT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34703", "description":"EVASC RPR A-UNILAC NDGFT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921080-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EVASC RPR A-UNILAC NDGFT RP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34704", "description":"EVASC RPR A-UNILAC NDGFT RP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921081-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EVAC RPR A-BIILIAC NDGFT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34705", "description":"EVAC RPR A-BIILIAC NDGFT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921082-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EVASC RPR A-BIILIAC RPT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34706", "description":"EVASC RPR A-BIILIAC RPT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921083-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EVASC RPR ILIO-ILIAC NDGFT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34707", "description":"EVASC RPR ILIO-ILIAC NDGFT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921084-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EVASC RPR ILIO-ILIAC RPT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34708", "description":"EVASC RPR ILIO-ILIAC RPT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921085-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLMT XTN PROSTH EVASC RPR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34709", "description":"PLMT XTN PROSTH EVASC RPR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921086-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3470F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921087-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DLYD PLMT XTN PROSTH 1ST VS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34710", "description":"DLYD PLMT XTN PROSTH 1ST VS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921088-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DLYD PLMT XTN PROSTH EA ADD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34711", "description":"DLYD PLMT XTN PROSTH EA ADD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921089-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TCAT DLVR ENHNCD FIXJ DEV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34712", "description":"TCAT DLVR ENHNCD FIXJ DEV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921090-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERQ ACCESS & CLSR FEM ART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34713", "description":"PERQ ACCESS & CLSR FEM ART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921091-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPN FEM ART EXPOS CNDT CRTJ", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34714", "description":"OPN FEM ART EXPOS CNDT CRTJ", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921092-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPN AX/SUBCLA ART EXPOS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34715", "description":"OPN AX/SUBCLA ART EXPOS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921093-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OPN AX/SUBCLA ART EXPOS CND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34716", "description":"OPN AX/SUBCLA ART EXPOS CND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921094-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34717", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921095-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34718", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921096-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3471F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921097-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3472F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921098-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3475F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921099-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3476F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921100-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34808", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":302.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921101-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34812", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":501.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921102-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34813", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":348.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921103-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34820", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":716.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921104-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34830", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2649.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921105-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34831", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2775.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921106-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34832", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2869.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921107-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34833", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":896.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921108-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"34834", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":408.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921109-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3490F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921110-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3491F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921111-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3492F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921112-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3493F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921113-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3494F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921114-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3495F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921115-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3496F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921116-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3497F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921117-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3498F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921118-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR ANEUR; ANEUR/OCCLUD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35001", "description":"DIREC REPR ANEUR; ANEUR/OCCLUD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1652.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921119-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR ANEURY; RUPTD ANEUR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35002", "description":"DIREC REPR ANEURY; RUPTD ANEUR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1731.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921120-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR ANEURY; ANEURY/OCCL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35005", "description":"DIREC REPR ANEURY; ANEURY/OCCL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1539.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921121-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3500F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921122-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR; ANEURY AXILRY-BRAC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35011", "description":"DIREC REPR; ANEURY AXILRY-BRAC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1446.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921123-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR; RUPT ANEURY AX-BRA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35013", "description":"DIREC REPR; RUPT ANEURY AX-BRA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1792.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921124-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR; ANEUR INNOM/SUBCLA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35021", "description":"DIREC REPR; ANEUR INNOM/SUBCLA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1743.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921125-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR; RUPT ANEURY INNOMI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35022", "description":"DIREC REPR; RUPT ANEURY INNOMI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2007.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921126-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3502F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921127-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3503F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921128-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR; ANEURY/OCCLUD RADI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35045", "description":"DIREC REPR; ANEURY/OCCLUD RADI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1400.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921129-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR; ANEURY/FALSE ANEUR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35081", "description":"DIREC REPR; ANEURY/FALSE ANEUR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2488.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921130-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR ANEURY; RUPT ANEURY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35082", "description":"DIREC REPR ANEURY; RUPT ANEURY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3147.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921131-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR; ANEURY ABD AORTA I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35091", "description":"DIREC REPR; ANEURY ABD AORTA I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2671.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921132-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR; RUPT ANEURY ABD AO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35092", "description":"DIREC REPR; RUPT ANEURY ABD AO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3754.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921133-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR; ANEURY ABD AORTA I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35102", "description":"DIREC REPR; ANEURY ABD AORTA I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2702.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921134-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR; RUPT ANEUR ABD AOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35103", "description":"DIREC REPR; RUPT ANEUR ABD AOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3251.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921135-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3510F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921136-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR; ANEURY/FLSE ANEUR/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35111", "description":"DIREC REPR; ANEURY/FLSE ANEUR/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2007.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921137-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR ANEURY; RUPT ANEURY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35112", "description":"DIREC REPR ANEURY; RUPT ANEURY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2439.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921138-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3511F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921139-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR; ANEURY HEPATIC/CEL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35121", "description":"DIREC REPR; ANEURY HEPATIC/CEL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2402.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921140-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR; RUPT ANEURY HEPATI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35122", "description":"DIREC REPR; RUPT ANEURY HEPATI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2829.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921141-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3512F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921142-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR; ANEURY/FALSE ANEUR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35131", "description":"DIREC REPR; ANEURY/FALSE ANEUR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2036.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921143-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR ANEURY; RUPT ANEURY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35132", "description":"DIREC REPR ANEURY; RUPT ANEURY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2465.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921144-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3513F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921145-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR; ANEUR/FLSE ANEURY/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35141", "description":"DIREC REPR; ANEUR/FLSE ANEURY/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1623.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921146-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR ANEURY; RUPT ANEURY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35142", "description":"DIREC REPR ANEURY; RUPT ANEURY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1934.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921147-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3514F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921148-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR; ANEURY/FALSE ANEUR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35151", "description":"DIREC REPR; ANEURY/FALSE ANEUR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1829.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921149-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIREC REPR ANEURY; RUPT ANEURY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35152", "description":"DIREC REPR ANEURY; RUPT ANEURY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2125.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921150-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3515F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921151-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3517F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921152-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR CONGEN AV FISTULA; HEAD &", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35180", "description":"REPR CONGEN AV FISTULA; HEAD &", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1179.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921153-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR CONGEN AV FISTULA; THORAX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35182", "description":"REPR CONGEN AV FISTULA; THORAX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2448.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921154-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR CONGEN AV FISTULA; EXTREM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35184", "description":"REPR CONGEN AV FISTULA; EXTREM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1471.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921155-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR ACQUIRED/TRAUMATIC AV FIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35188", "description":"REPR ACQUIRED/TRAUMATIC AV FIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1243.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921156-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR ACQUIRED/TRAUMATIC AV FIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35189", "description":"REPR ACQUIRED/TRAUMATIC AV FIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2319.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921157-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR ACQUIRED/TRAUMATIC AV FIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35190", "description":"REPR ACQUIRED/TRAUMATIC AV FIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1080.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921158-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESSEL DIRECT; NECK", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35201", "description":"REPR BLD VESSEL DIRECT; NECK", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1353.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921159-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESSEL DIRECT; UPPER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35206", "description":"REPR BLD VESSEL DIRECT; UPPER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1109.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921160-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESSEL DIRECT; HAND-F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35207", "description":"REPR BLD VESSEL DIRECT; HAND-F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1003.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921161-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3520F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921162-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESSEL DIRECT; INTRAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35211", "description":"REPR BLD VESSEL DIRECT; INTRAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1948.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921163-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESSEL DIRECT; INTRAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35216", "description":"REPR BLD VESSEL DIRECT; INTRAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2610.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921164-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESSEL DIRECT; INTRA-", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35221", "description":"REPR BLD VESSEL DIRECT; INTRA-", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2003.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921165-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESSEL DIRECT; LOWER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35226", "description":"REPR BLD VESSEL DIRECT; LOWER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1228.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921166-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESSEL W/VEIN GFT; NE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35231", "description":"REPR BLD VESSEL W/VEIN GFT; NE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1681.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921167-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESSEL W/VEIN GFT; UP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35236", "description":"REPR BLD VESSEL W/VEIN GFT; UP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1410.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921168-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESS W/VEIN GFT; INTR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35241", "description":"REPR BLD VESS W/VEIN GFT; INTR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2035.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921169-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESS W/VEIN GFT; INTR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35246", "description":"REPR BLD VESS W/VEIN GFT; INTR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2195.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921170-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESSEL W/VEIN GFT; IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35251", "description":"REPR BLD VESSEL W/VEIN GFT; IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2388.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921171-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESSEL W/VEIN GFT; LO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35256", "description":"REPR BLD VESSEL W/VEIN GFT; LO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1486.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921172-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESSEL W/GFT OTHER TH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35261", "description":"REPR BLD VESSEL W/GFT OTHER TH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1488.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921173-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESS W/GFT OTHER THAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35266", "description":"REPR BLD VESS W/GFT OTHER THAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1238.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921174-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESS W/GFT NOT VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35271", "description":"REPR BLD VESS W/GFT NOT VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1943.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921175-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESS W/GFT NOT VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35276", "description":"REPR BLD VESS W/GFT NOT VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2040.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921176-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESSEL W/GFT OTHER TH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35281", "description":"REPR BLD VESSEL W/GFT OTHER TH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2276.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921177-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR BLD VESS W/GFT OTHER THAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35286", "description":"REPR BLD VESS W/GFT OTHER THAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1367.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921178-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THROMBOENDARTERECT; CAROTID/SU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35301", "description":"THROMBOENDARTERECT; CAROTID/SU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1527.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921179-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35302", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1592.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921180-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35303", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1750.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921181-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35304", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1821.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921182-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35305", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1750.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921183-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35306", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":654.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921184-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THROMBOENDARTERECT; SUBCLAV/IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35311", "description":"THROMBOENDARTERECT; SUBCLAV/IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2193.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921185-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THROMBOENDARTERECT W/WO GFT; A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35321", "description":"THROMBOENDARTERECT W/WO GFT; A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1301.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921186-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THROMBOENDARTERECTOMY W/WO PAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35331", "description":"THROMBOENDARTERECTOMY W/WO PAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2124.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921187-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THROMBOENDARTERECT; MESENTERIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35341", "description":"THROMBOENDARTERECT; MESENTERIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2018.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921188-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THROMBOENDARTERECTOMY W/WO PAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35351", "description":"THROMBOENDARTERECTOMY W/WO PAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1869.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921189-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THROMBOENDARTERECT W/WO PATCH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35355", "description":"THROMBOENDARTERECT W/WO PATCH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1521.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921190-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THROMBOENDARTERECT W/WO GFT; C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35361", "description":"THROMBOENDARTERECT W/WO GFT; C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2300.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921191-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THROMBOENDARTERECTOMY; COMBO A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35363", "description":"THROMBOENDARTERECTOMY; COMBO A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2464.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921192-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THROMBOENDARTERECT W/WO GFT; C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35371", "description":"THROMBOENDARTERECT W/WO GFT; C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1206.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921193-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THROMBOENDARTERECT W/WO PATCH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35372", "description":"THROMBOENDARTERECT W/WO PATCH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1446.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921194-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REOPERAT CAROTID THROMBOENDART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35390", "description":"REOPERAT CAROTID THROMBOENDART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":234.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921195-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35400", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":221.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921196-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35500", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":468.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921197-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; CAROTID", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35501", "description":"BYPASS GFT W/VEIN; CAROTID", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2192.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921198-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; CAROTID-SUB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35506", "description":"BYPASS GFT W/VEIN; CAROTID-SUB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1903.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921199-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; CAROTID-VER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35508", "description":"BYPASS GFT W/VEIN; CAROTID-VER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1952.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921200-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; CAROTID-CAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35509", "description":"BYPASS GFT W/VEIN; CAROTID-CAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2134.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921201-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3550F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921202-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35510", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1830.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921203-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; SUBCLAVIAN-", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35511", "description":"BYPASS GFT W/VEIN; SUBCLAVIAN-", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1722.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921204-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35512", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1793.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921205-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; SUBCLAVIAN-", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35515", "description":"BYPASS GFT W/VEIN; SUBCLAVIAN-", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1956.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921206-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; SUBCLAVIAN-", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35516", "description":"BYPASS GFT W/VEIN; SUBCLAVIAN-", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1728.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921207-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; AXILRY-AXIL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35518", "description":"BYPASS GFT W/VEIN; AXILRY-AXIL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1730.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921208-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3551F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921209-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; AXILRY-FEMO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35521", "description":"BYPASS GFT W/VEIN; AXILRY-FEMO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1849.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921210-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35522", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1746.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921211-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35523", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1831.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921212-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35525", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1650.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921213-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; AORTOSUBCLA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35526", "description":"BYPASS GFT W/VEIN; AORTOSUBCLA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2497.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921214-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3552F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921215-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; AORTOCELIAC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35531", "description":"BYPASS GFT W/VEIN; AORTOCELIAC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2926.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921216-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; AXILRY-FEMO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35533", "description":"BYPASS GFT W/VEIN; AXILRY-FEMO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2270.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921217-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35535", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921218-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; SPLENORENAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35536", "description":"BYPASS GFT W/VEIN; SPLENORENAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2530.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921219-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35537", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3096.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921220-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35538", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3457.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921221-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35539", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3242.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921222-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35540", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3614.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921223-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; FEMORAL-POP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35556", "description":"BYPASS GFT W/VEIN; FEMORAL-POP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1999.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921224-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; FEMORAL-FEM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35558", "description":"BYPASS GFT W/VEIN; FEMORAL-FEM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1782.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921225-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3555F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921226-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; AORTORENAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35560", "description":"BYPASS GFT W/VEIN; AORTORENAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2590.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921227-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; ILIOILIAC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35563", "description":"BYPASS GFT W/VEIN; ILIOILIAC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2012.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921228-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; ILIOFEMORAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35565", "description":"BYPASS GFT W/VEIN; ILIOFEMORAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1922.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921229-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; FEM-ANT TIB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35566", "description":"BYPASS GFT W/VEIN; FEM-ANT TIB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2396.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921230-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35570", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921231-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/VEIN; POP-TIB/-PE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35571", "description":"BYPASS GFT W/VEIN; POP-TIB/-PE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1964.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921232-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35572", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":504.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921233-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IN-SITU VEIN BYPASS; FEMORAL-P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35583", "description":"IN-SITU VEIN BYPASS; FEMORAL-P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2066.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921234-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IN-SITU VEIN BYPASS; FEM-ANT T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35585", "description":"IN-SITU VEIN BYPASS; FEM-ANT T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2433.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921235-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IN-SITU VEIN BYPASS; POP-TIBIA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35587", "description":"IN-SITU VEIN BYPASS; POP-TIBIA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2031.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921236-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35600", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":370.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921237-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/OTHER THAN VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35601", "description":"BYPASS GFT W/OTHER THAN VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2061.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921238-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/OTHER THAN VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35606", "description":"BYPASS GFT W/OTHER THAN VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1708.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921239-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/OTHER THAN VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35612", "description":"BYPASS GFT W/OTHER THAN VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1334.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921240-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/OTHER THAN VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35616", "description":"BYPASS GFT W/OTHER THAN VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1627.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921241-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/OTHER THAN VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35621", "description":"BYPASS GFT W/OTHER THAN VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1619.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921242-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/OTHER THAN VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35623", "description":"BYPASS GFT W/OTHER THAN VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1986.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921243-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/OTHER THAN VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35626", "description":"BYPASS GFT W/OTHER THAN VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2269.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921244-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT NOT VEIN; AORTOCELI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35631", "description":"BYPASS GFT NOT VEIN; AORTOCELI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2715.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921245-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35632", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921246-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35633", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921247-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35634", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921248-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/OTHER THAN VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35636", "description":"BYPASS GFT W/OTHER THAN VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2396.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921249-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35637", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2457.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921250-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35638", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2495.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921251-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/OTHER THAN VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35642", "description":"BYPASS GFT W/OTHER THAN VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1472.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921252-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/OTHER THAN VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35645", "description":"BYPASS GFT W/OTHER THAN VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1490.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921253-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/OTHER THAN VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35646", "description":"BYPASS GFT W/OTHER THAN VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2514.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921254-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35647", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2272.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921255-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/OTHER THAN VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35650", "description":"BYPASS GFT W/OTHER THAN VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1563.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921256-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/OTHER THAN VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35654", "description":"BYPASS GFT W/OTHER THAN VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2011.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921257-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/OTHER THAN VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35656", "description":"BYPASS GFT W/OTHER THAN VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1585.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921258-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/OTHER THAN VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35661", "description":"BYPASS GFT W/OTHER THAN VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1588.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921259-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/OTHER THAN VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35663", "description":"BYPASS GFT W/OTHER THAN VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1841.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921260-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/OTHER THAN VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35665", "description":"BYPASS GFT W/OTHER THAN VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1726.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921261-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT NOT VEIN; FEM-ANT T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35666", "description":"BYPASS GFT NOT VEIN; FEM-ANT T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1864.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921262-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT W/OTHER THAN VEIN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35671", "description":"BYPASS GFT W/OTHER THAN VEIN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1641.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921263-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BYPASS GFT COMPOSITE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35681", "description":"BYPASS GFT COMPOSITE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":117.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921264-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35682", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":522.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921265-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35683", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":616.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921266-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35685", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":295.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921267-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35686", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":245.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921268-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSPOSIT &/OR REIMPLNT; VERT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35691", "description":"TRANSPOSIT &/OR REIMPLNT; VERT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1440.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921269-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSPOSIT &/OR REIMPLNT; VERT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35693", "description":"TRANSPOSIT &/OR REIMPLNT; VERT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1274.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921270-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSPOSIT &/OR REIMPLNT; SUBC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35694", "description":"TRANSPOSIT &/OR REIMPLNT; SUBC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1505.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921271-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSPOSIT &/OR REIMPLNT; CARO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35695", "description":"TRANSPOSIT &/OR REIMPLNT; CARO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1556.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921272-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35697", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":219.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921273-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REOPERAT FEM-POP/FEM-ANT TIB >", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35700", "description":"REOPERAT FEM-POP/FEM-ANT TIB >", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":225.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921274-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR W/WO LYSIS ART; CAROTID", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35701", "description":"EXPLOR W/WO LYSIS ART; CAROTID", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":775.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921275-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35702", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921276-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35703", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921277-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3570F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921278-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3572F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921279-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3573F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921280-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR POSTOP HEMORR THROMBOSI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35800", "description":"EXPLOR POSTOP HEMORR THROMBOSI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":687.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921281-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR POSTOP HEMORR THROMBOSI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35820", "description":"EXPLOR POSTOP HEMORR THROMBOSI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2535.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921282-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR POSTOP HEMORR THROMBOSI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35840", "description":"EXPLOR POSTOP HEMORR THROMBOSI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":891.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921283-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR POSTOP HEMORR/THROMBOSI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35860", "description":"EXPLOR POSTOP HEMORR/THROMBOSI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":582.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921284-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR GFT-ENTERIC FISTULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35870", "description":"REPR GFT-ENTERIC FISTULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1863.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921285-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THROMBECTOMY ART/VENOUS GFT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35875", "description":"THROMBECTOMY ART/VENOUS GFT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":865.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921286-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THROMBECTOMY ART/VENOUS GFT; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35876", "description":"THROMBECTOMY ART/VENOUS GFT; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1378.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921287-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35879", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1357.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921288-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35881", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1508.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921289-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35883", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1782.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921290-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35884", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1892.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921291-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC INFEC GFT; NECK", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35901", "description":"EXC INFEC GFT; NECK", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":733.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921292-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC INFEC GFT; EXTREM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35903", "description":"EXC INFEC GFT; EXTREM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":834.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921293-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC INFEC GFT; THORAX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35905", "description":"EXC INFEC GFT; THORAX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2550.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921294-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC INFEC GFT; ABD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"35907", "description":"EXC INFEC GFT; ABD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2796.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921295-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTRO NEEDLE/INTRACATHETER VEI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36000", "description":"INTRO NEEDLE/INTRACATHETER VEI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":38.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921296-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36002", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":249.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921297-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC CONTRAST VENOGRAPHY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36005", "description":"INJ PROC CONTRAST VENOGRAPHY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":497.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921298-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTRO CATH SUPER/INFERIOR VENA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36010", "description":"INTRO CATH SUPER/INFERIOR VENA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":975.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921299-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SELECT CATH PLCMT VENOUS SYST;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36011", "description":"SELECT CATH PLCMT VENOUS SYST;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1486.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921300-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SELECT CATH PLCMT VENOUS; 2ND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36012", "description":"SELECT CATH PLCMT VENOUS; 2ND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1276.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921301-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTRO CATH RT HEART/MAIN PULM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36013", "description":"INTRO CATH RT HEART/MAIN PULM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1251.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921302-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SELECT CATH PLCMT LT/RT PULM A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36014", "description":"SELECT CATH PLCMT LT/RT PULM A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1246.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921303-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SELECT CATH PLCMT SEGMT/SUBSEG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36015", "description":"SELECT CATH PLCMT SEGMT/SUBSEG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1359.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921304-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTRO NEEDLE/INTRACATH CAROTID", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36100", "description":"INTRO NEEDLE/INTRACATH CAROTID", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":812.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921305-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTRO NEEDLE/INTRACATHETER; EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36140", "description":"INTRO NEEDLE/INTRACATHETER; EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":754.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921306-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTRO NEEDLE/INTRACATHETER AOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36160", "description":"INTRO NEEDLE/INTRACATHETER AOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":833.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921307-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTRO CATH AORTA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36200", "description":"INTRO CATH AORTA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1001.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921308-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SELECT CATH PLCMT ART SYST; EA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36215", "description":"SELECT CATH PLCMT ART SYST; EA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1719.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921309-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SELECT CATH PLCMT ART SYST; IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36216", "description":"SELECT CATH PLCMT ART SYST; IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1866.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921310-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SELECT CATH PLCMT ART SYST; IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36217", "description":"SELECT CATH PLCMT ART SYST; IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3149.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921311-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SELECT CATH PLCMT ART; ADD 2ND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36218", "description":"SELECT CATH PLCMT ART; ADD 2ND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":300.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921312-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36221", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921313-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36222", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921314-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36223", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921315-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36224", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921316-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36225", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921317-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36226", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921318-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36227", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921319-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36228", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921320-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SELECT CATH PLCMT ART SYST; EA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36245", "description":"SELECT CATH PLCMT ART SYST; EA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1939.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921321-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SELECT CATH PLCMT ART SYST; IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36246", "description":"SELECT CATH PLCMT ART SYST; IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1877.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921322-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SELECT CATH PLCMT ART SYST; IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36247", "description":"SELECT CATH PLCMT ART SYST; IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2966.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921323-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SELECT CATH PLCMT ART; ADD 2ND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36248", "description":"SELECT CATH PLCMT ART; ADD 2ND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":254.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921324-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36251", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921325-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36252", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921326-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36253", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921327-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36254", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921328-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT IMPLNT INTRA-ART INFUSIO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36260", "description":"INSRT IMPLNT INTRA-ART INFUSIO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":819.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921329-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS IMPLNT INTRA-ART INFUSIO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36261", "description":"REVIS IMPLNT INTRA-ART INFUSIO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":500.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921330-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV IMPLNT INTRA-ART INFUSIO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36262", "description":"REMOV IMPLNT INTRA-ART INFUSIO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":381.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921331-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENIPUNCT < 3 YR; FEM/JUGULAR/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36400", "description":"VENIPUNCT < 3 YR; FEM/JUGULAR/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":36.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921332-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENIPUNCTURE < 3 YR; SCLP VEIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36405", "description":"VENIPUNCTURE < 3 YR; SCLP VEIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":32.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921333-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENIPUNCTURE < 3 YR; OTHER VEI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36406", "description":"VENIPUNCTURE < 3 YR; OTHER VEI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":24.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921334-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENIPUNCT >3 YR W/MD SKILL (SE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36410", "description":"VENIPUNCT >3 YR W/MD SKILL (SE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":27.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921335-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ROUTINE VENIPUNCT/FINGER/HEEL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36415", "description":"ROUTINE VENIPUNCT/FINGER/HEEL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":16.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921336-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36416", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":16.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921337-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENIPUNCTURE CUTDOWN; UNDER AG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36420", "description":"VENIPUNCTURE CUTDOWN; UNDER AG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":68.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921338-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENIPUNCTURE CUTDOWN; AGE 1/OV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36425", "description":"VENIPUNCTURE CUTDOWN; AGE 1/OV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":54.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921339-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSFUSION BLD/BLD COMPONENTS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36430", "description":"TRANSFUSION BLD/BLD COMPONENTS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":56.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921340-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PUSH TRANSFUSION BLD 2 YR/UNDE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36440", "description":"PUSH TRANSFUSION BLD 2 YR/UNDE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":72.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921341-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXCHG TRANSFUSION BLD; NB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36450", "description":"EXCHG TRANSFUSION BLD; NB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":164.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921342-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXCHG TRANSFUSION BLD; OTHER T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36455", "description":"EXCHG TRANSFUSION BLD; OTHER T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":178.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921343-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36456", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921344-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSFUSION INTRAUTERINE FETAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36460", "description":"TRANSFUSION INTRAUTERINE FETAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":482.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921345-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NJX NONCMPND SCLRSNT 1 VEIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36465", "description":"NJX NONCMPND SCLRSNT 1 VEIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921346-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NJX NONCMPND SCLRSNT MLT VN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36466", "description":"NJX NONCMPND SCLRSNT MLT VN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921347-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ SCLEROSING SOLUTION; SNGL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36470", "description":"INJ SCLEROSING SOLUTION; SNGL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":202.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921348-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ SCLEROSING SOLUTION; MX VE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36471", "description":"INJ SCLEROSING SOLUTION; MX VE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":246.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921349-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36473", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921350-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36474", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921351-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36475", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2776.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921352-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36476", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":570.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921353-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36478", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2405.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921354-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36479", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":580.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921355-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT PORTAL VEIN CATH BY ANY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36481", "description":"PERCUT PORTAL VEIN CATH BY ANY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":519.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921356-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENDOVEN THER CHEM ADHES 1ST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36482", "description":"ENDOVEN THER CHEM ADHES 1ST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921357-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENDOVEN THER CHEM ADHES SBS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36483", "description":"ENDOVEN THER CHEM ADHES SBS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921358-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENOUS CATH SELECT ORGAN BLD S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36500", "description":"VENOUS CATH SELECT ORGAN BLD S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":262.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921359-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3650F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921360-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CATH UMBILICAL VEIN DX/THERAP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36510", "description":"CATH UMBILICAL VEIN DX/THERAP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":198.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921361-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36511", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":129.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921362-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36512", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":130.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921363-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36513", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":132.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921364-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36514", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":854.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921365-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36516", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3768.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921366-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PHOTOPHERESIS EXTRACORPOREAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36522", "description":"PHOTOPHERESIS EXTRACORPOREAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2025.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921367-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36555", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":408.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921368-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36556", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":371.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921369-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36557", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1290.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921370-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36558", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1264.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921371-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36560", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1757.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921372-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36561", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1769.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921373-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36563", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1733.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921374-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36565", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1502.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921375-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36566", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4163.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921376-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36568", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":475.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921377-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36569", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":428.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921378-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36570", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1804.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921379-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36571", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1896.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921380-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36572", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921381-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36573", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921382-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36575", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":246.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921383-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36576", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":529.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921384-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36578", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":751.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921385-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36580", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":376.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921386-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36581", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1156.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921387-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36582", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1594.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921388-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36583", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1599.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921389-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36584", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":372.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921390-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36585", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1652.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921391-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36589", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":240.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921392-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36590", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":381.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921393-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36591", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":30.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921394-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36592", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":37.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921395-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36593", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":46.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921396-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36595", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":971.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921397-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36596", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":214.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921398-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36597", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":188.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921399-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36598", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":175.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921400-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ART PUNCT WITHDRAWAL BLD DX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36600", "description":"ART PUNCT WITHDRAWAL BLD DX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":44.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921401-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ART CATH/CANNULAT-SAMPL MONITO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36620", "description":"ART CATH/CANNULAT-SAMPL MONITO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":72.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921402-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ART CATH/CANNULAT-SAMPL/MONITO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36625", "description":"ART CATH/CANNULAT-SAMPL/MONITO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":147.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921403-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ART CATH PROLONGED INFUSION TH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36640", "description":"ART CATH PROLONGED INFUSION TH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":170.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921404-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CATH UMBILICAL-ART-NB-DX/THERA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36660", "description":"CATH UMBILICAL-ART-NB-DX/THERA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":101.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921405-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLCMT NEEDLE INTRAOSSEOUS INFU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36680", "description":"PLCMT NEEDLE INTRAOSSEOUS INFU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":88.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921406-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT CANNULA (SEPART PROC); V", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36800", "description":"INSRT CANNULA (SEPART PROC); V", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":228.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921407-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT CANNULA (SEPART PROC); A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36810", "description":"INSRT CANNULA (SEPART PROC); A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":305.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921408-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT CANNULA (SEPART PROC); A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36815", "description":"INSRT CANNULA (SEPART PROC); A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":209.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921409-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36818", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":972.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921410-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36819", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1135.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921411-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36820", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1138.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921412-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AV ANASTOM DIRECT ANY SITE (SE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36821", "description":"AV ANASTOM DIRECT ANY SITE (SE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":757.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921413-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36823", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1786.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921414-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CREATE AV FISTULA (SEPART PROC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36825", "description":"CREATE AV FISTULA (SEPART PROC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":824.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921415-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CREATE AV FISTULA (SEPART PROC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36830", "description":"CREATE AV FISTULA (SEPART PROC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":941.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921416-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36831", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":652.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921417-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS-AV FIST W/WO THROMBEC AU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36832", "description":"REVIS-AV FIST W/WO THROMBEC AU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":830.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921418-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36833", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":936.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921419-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT THOMAS SHUNT (SEPART PRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36835", "description":"INSRT THOMAS SHUNT (SEPART PRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":644.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921420-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36838", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1683.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921421-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CANNULA DECLOT (SEPART PROC);", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36860", "description":"CANNULA DECLOT (SEPART PROC);", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":250.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921422-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CANNULA DECLOTTING (SEPART PRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36861", "description":"CANNULA DECLOTTING (SEPART PRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":215.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921423-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36901", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921424-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36902", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921425-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36903", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921426-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36904", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921427-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36905", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921428-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36906", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921429-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36907", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921430-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36908", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921431-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"36909", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921432-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3700F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921433-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENOUS ANASTOM; PORTOCAVAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37140", "description":"VENOUS ANASTOM; PORTOCAVAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1913.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921434-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENOUS ANASTOM; RENOPORTAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37145", "description":"VENOUS ANASTOM; RENOPORTAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2062.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921435-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENOUS ANASTOM; CAVAL-MESENTER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37160", "description":"VENOUS ANASTOM; CAVAL-MESENTER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1777.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921436-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENOUS ANASTOM; SPLENORENAL PR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37180", "description":"VENOUS ANASTOM; SPLENORENAL PR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2017.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921437-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENOUS ANASTOM; SPLENORENAL DI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37181", "description":"VENOUS ANASTOM; SPLENORENAL DI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2137.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921438-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37182", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1259.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921439-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37183", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":600.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921440-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37184", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3839.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921441-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37185", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1266.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921442-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37186", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2602.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921443-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37187", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3715.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921444-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37188", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3196.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921445-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37191", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921446-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37192", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921447-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37193", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921448-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37197", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921449-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSCATH BX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37200", "description":"TRANSCATH BX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":334.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921450-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3720F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921451-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37211", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921452-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37212", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921453-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37213", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921454-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37214", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921455-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37215", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1581.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921456-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37216", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1418.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921457-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37217", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921458-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37218", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921459-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37220", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921460-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37221", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921461-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37222", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921462-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37223", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921463-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37224", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921464-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37225", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921465-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37226", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921466-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37227", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921467-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37228", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921468-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37229", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921469-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37230", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921470-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37231", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921471-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37232", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921472-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37233", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921473-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37234", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921474-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37235", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921475-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37236", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921476-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37237", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921477-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37238", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921478-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37239", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921479-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37241", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921480-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37242", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921481-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37243", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921482-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37244", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921483-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37246", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921484-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37247", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921485-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37248", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921486-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37249", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921487-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37252", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921488-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37253", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921489-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3725F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921490-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37500", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":991.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921491-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3750F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921492-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3751F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921493-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3752F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921494-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3753F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921495-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3754F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921496-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3755F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921497-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG INT JUGULAR VEIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37565", "description":"LIG INT JUGULAR VEIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":966.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921498-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3756F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921499-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3757F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921500-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3758F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921501-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3759F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921502-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG; EXT CAROTID ART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37600", "description":"LIG; EXT CAROTID ART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1010.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921503-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG; INT/COMMON CAROTID ART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37605", "description":"LIG; INT/COMMON CAROTID ART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1149.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921504-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG; INT/COMMON CAROTID ART W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37606", "description":"LIG; INT/COMMON CAROTID ART W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":757.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921505-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG/BANDING ANGIO ACCESS AV FI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37607", "description":"LIG/BANDING ANGIO ACCESS AV FI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":534.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921506-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG/BX TEMPORAL ART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37609", "description":"LIG/BX TEMPORAL ART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":410.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921507-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3760F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921508-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG MAJOR ART; NECK", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37615", "description":"LIG MAJOR ART; NECK", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":652.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921509-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG MAJOR ART; CHEST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37616", "description":"LIG MAJOR ART; CHEST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1506.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921510-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG MAJOR ART; ABD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37617", "description":"LIG MAJOR ART; ABD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1809.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921511-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG MAJOR ART; EXTREM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37618", "description":"LIG MAJOR ART; EXTREM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":526.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921512-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37619", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921513-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3761F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921514-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3762F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921515-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3763F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921516-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG FEMORAL VEIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37650", "description":"LIG FEMORAL VEIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":720.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921517-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG COMMON ILIAC VEIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37660", "description":"LIG COMMON ILIAC VEIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1702.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921518-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG & DIVIS LONG SAPHENOUS VEI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37700", "description":"LIG & DIVIS LONG SAPHENOUS VEI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":357.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921519-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37718", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":579.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921520-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37722", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":675.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921521-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG & STRIP LONG/SHORT SAPHENO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37735", "description":"LIG & STRIP LONG/SHORT SAPHENO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":896.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921522-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3775F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921523-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG PERFORATORS-SUBFASCIAL RAD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37760", "description":"LIG PERFORATORS-SUBFASCIAL RAD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":878.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921524-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37761", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921525-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37765", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":640.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921526-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37766", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":776.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921527-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"3776F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921528-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG SHORT SAPHENOUS VEIN @ SAP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37780", "description":"LIG SHORT SAPHENOUS VEIN @ SAP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":365.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921529-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG DIVIS &/OR EXC RECURRENT/S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37785", "description":"LIG DIVIS &/OR EXC RECURRENT/S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":501.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921530-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PENILE REVASCULARIZATION ART W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37788", "description":"PENILE REVASCULARIZATION ART W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1869.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921531-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PENILE VENOUS OCCLUD PROC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"37790", "description":"PENILE VENOUS OCCLUD PROC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":719.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921532-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SPLENECTOMY; TOT (SEPART PROC)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38100", "description":"SPLENECTOMY; TOT (SEPART PROC)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1343.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921533-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SPLENECTOMY; PART (SEPART PROC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38101", "description":"SPLENECTOMY; PART (SEPART PROC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1359.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921534-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SPLENECTOMY; TOT W/OTHER PROC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38102", "description":"SPLENECTOMY; TOT W/OTHER PROC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":327.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921535-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR RUPT SPLEEN W/WO PART SPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38115", "description":"REPR RUPT SPLEEN W/WO PART SPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1488.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921536-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38120", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1267.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921537-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC SPLENOPORTOGRAPHY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38200", "description":"INJ PROC SPLENOPORTOGRAPHY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":183.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921538-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38204", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":123.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921539-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38205", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":106.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921540-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38206", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":106.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921541-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38207", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":64.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921542-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38208", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":40.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921543-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38209", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":18.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921544-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38210", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":113.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921545-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38211", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":102.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921546-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38212", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":68.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921547-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38213", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":18.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921548-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38214", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":58.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921549-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38215", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":68.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921550-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38220", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":219.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921551-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38221", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":242.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921552-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38222", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921553-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BONE MARROW HARVESTING TRANSPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38230", "description":"BONE MARROW HARVESTING TRANSPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":413.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921554-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38232", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921555-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BONE MARROW/STEM CELL TRANSPL;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38240", "description":"BONE MARROW/STEM CELL TRANSPL;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":163.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921556-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BONE MARROW/STEM CELL TRANSPL;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38241", "description":"BONE MARROW/STEM CELL TRANSPL;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":163.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921557-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38242", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":124.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921558-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38243", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921559-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE LYMPH NODE ABSCESS/LY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38300", "description":"DRAINAGE LYMPH NODE ABSCESS/LY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":339.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921560-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE LYMPH NODE ABSCESS/LY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38305", "description":"DRAINAGE LYMPH NODE ABSCESS/LY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":570.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921561-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LYMPHANGIOTOMY/OTHER OR ON LYM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38308", "description":"LYMPHANGIOTOMY/OTHER OR ON LYM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":543.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921562-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE &/OR LIG THORACIC DUCT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38380", "description":"SUTURE &/OR LIG THORACIC DUCT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":706.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921563-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE &/OR LIG THORACIC DUCT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38381", "description":"SUTURE &/OR LIG THORACIC DUCT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1041.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921564-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE &/OR LIG THORACIC DUCT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38382", "description":"SUTURE &/OR LIG THORACIC DUCT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":845.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921565-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX/EXC LYMPH NODE; SUPERF (SEP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38500", "description":"BX/EXC LYMPH NODE; SUPERF (SEP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":390.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921566-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX/EXC LYMPH NODE; BY NEEDLE S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38505", "description":"BX/EXC LYMPH NODE; BY NEEDLE S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":166.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921567-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX/EXC LYMPH NODE; DEEP CERV N", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38510", "description":"BX/EXC LYMPH NODE; DEEP CERV N", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":630.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921568-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX/EXC LYMPH NODE; DEEP CERV N", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38520", "description":"BX/EXC LYMPH NODE; DEEP CERV N", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":567.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921569-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX/EXC LYMPH NODE; DEEP AXILRY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38525", "description":"BX/EXC LYMPH NODE; DEEP AXILRY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":509.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921570-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX/EXC LYMPH NODE; INT MAMMARY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38530", "description":"BX/EXC LYMPH NODE; INT MAMMARY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":657.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921571-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38531", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921572-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DISSECTION DEEP JUGULAR NODE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38542", "description":"DISSECTION DEEP JUGULAR NODE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":533.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921573-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC CYSTIC HYGROMA AXIL/CERV;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38550", "description":"EXC CYSTIC HYGROMA AXIL/CERV;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":580.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921574-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC CYSTIC HYGROMA AXIL/CERV;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38555", "description":"EXC CYSTIC HYGROMA AXIL/CERV;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1218.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921575-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LTD LYMPHADENECTOMY (SEPART PR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38562", "description":"LTD LYMPHADENECTOMY (SEPART PR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":867.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921576-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LTD LYMPHADENECT (SEPART PROC)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38564", "description":"LTD LYMPHADENECT (SEPART PROC)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":861.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921577-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38570", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":693.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921578-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38571", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1071.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921579-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38572", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1216.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921580-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAPS PELVIC LYMPHADEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38573", "description":"LAPS PELVIC LYMPHADEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921581-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUPRAHYOID LYMPHADENECTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38700", "description":"SUPRAHYOID LYMPHADENECTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":967.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921582-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CERV LYMPHADENECTOMY (COMPLETE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38720", "description":"CERV LYMPHADENECTOMY (COMPLETE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1597.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921583-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CERV LYMPHADENECTOMY (MODIFIED", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38724", "description":"CERV LYMPHADENECTOMY (MODIFIED", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1727.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921584-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AXILRY LYMPHADENECTOMY; SUPERF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38740", "description":"AXILRY LYMPHADENECTOMY; SUPERF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":813.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921585-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AXILRY LYMPHADENECTOMY; COMPLT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38745", "description":"AXILRY LYMPHADENECTOMY; COMPLT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1035.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921586-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THORACIC LYMPHADENECTOMY REGIO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38746", "description":"THORACIC LYMPHADENECTOMY REGIO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":339.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921587-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ABD LYMPHADENECTOMY REGIONAL I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38747", "description":"ABD LYMPHADENECTOMY REGIONAL I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":334.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921588-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INGUINOFEM LYMPHADENECT SUPERF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38760", "description":"INGUINOFEM LYMPHADENECT SUPERF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1022.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921589-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INGUINOFEM LYMPHADENECTOMY SUP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38765", "description":"INGUINOFEM LYMPHADENECTOMY SUP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1580.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921590-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PELVIC LYMPHADENECTOMY W/EXT I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38770", "description":"PELVIC LYMPHADENECTOMY W/EXT I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1045.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921591-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RETROPERITONEAL TRANSABD LYMPH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38780", "description":"RETROPERITONEAL TRANSABD LYMPH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1331.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921592-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC LYMPHANGIOGRAPHY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38790", "description":"INJ PROC LYMPHANGIOGRAPHY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":106.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921593-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38792", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":52.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921594-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CANNULATION THORACIC DUCT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38794", "description":"CANNULATION THORACIC DUCT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":400.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921595-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"38900", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921596-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MEDIASTINOTOMY W/EXPLOR/DRAIN/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"39000", "description":"MEDIASTINOTOMY W/EXPLOR/DRAIN/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":623.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921597-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MEDIASTINOTOMY W/EXPLOR/DRAIN/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"39010", "description":"MEDIASTINOTOMY W/EXPLOR/DRAIN/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1052.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921598-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MEDIASTINAL CYST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"39200", "description":"EXC MEDIASTINAL CYST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1151.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921599-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MEDIASTINAL TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"39220", "description":"EXC MEDIASTINAL TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1474.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921600-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"39401", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921601-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"39402", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921602-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LACERATION DIAPHRAGM ANY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"39501", "description":"REPR LACERATION DIAPHRAGM ANY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1049.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921603-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NEONAT DIAPHRAGMATIC HERN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"39503", "description":"REPR NEONAT DIAPHRAGMATIC HERN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":7197.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921604-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR DIAPHRAGMATIC HERNIA-TRAU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"39540", "description":"REPR DIAPHRAGMATIC HERNIA-TRAU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1070.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921605-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR DIAPHRAGMATIC HERNIA-TRAU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"39541", "description":"REPR DIAPHRAGMATIC HERNIA-TRAU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1151.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921606-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMBRICATION DIAPHRAGM-EVENTRAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"39545", "description":"IMBRICATION DIAPHRAGM-EVENTRAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1141.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921607-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"39560", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":986.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921608-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"39561", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1520.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921609-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4000F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921610-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4001F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921611-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4003F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921612-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4004F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921613-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4005F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921614-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4008F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921615-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4010F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921616-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4011F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921617-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4012F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921618-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4013F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921619-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4014F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921620-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4015F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921621-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4016F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921622-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4017F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921623-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4018F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921624-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4019F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921625-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4025F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921626-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4030F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921627-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4033F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921628-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4035F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921629-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4037F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921630-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4040F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921631-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4041F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921632-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4042F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921633-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4043F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921634-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4044F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921635-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4045F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921636-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4046F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921637-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4047F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921638-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4048F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921639-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX LIP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40490", "description":"BX LIP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":157.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921640-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4049F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921641-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERMILIONECTOMY W/MUCOS ADVANC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40500", "description":"VERMILIONECTOMY W/MUCOS ADVANC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":606.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921642-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4050F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921643-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LIP; TRANSVERSE WEDGE EXC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40510", "description":"EXC LIP; TRANSVERSE WEDGE EXC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":591.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921644-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4051F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921645-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LIP; V-EXC W/PRIM DIRECT L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40520", "description":"EXC LIP; V-EXC W/PRIM DIRECT L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":621.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921646-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LIP; FULL THICK RECON W/LO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40525", "description":"EXC LIP; FULL THICK RECON W/LO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":697.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921647-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LIP; FULL THICK RECON W/CR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40527", "description":"EXC LIP; FULL THICK RECON W/CR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":826.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921648-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4052F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921649-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT LIP MORE THAN 1-FOURTH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40530", "description":"RESECT LIP MORE THAN 1-FOURTH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":680.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921650-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4053F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921651-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4054F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921652-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4055F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921653-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4056F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921654-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4058F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921655-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4060F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921656-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4062F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921657-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4063F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921658-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4064F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921659-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LIP FULL THICK; VERMILION", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40650", "description":"REPR LIP FULL THICK; VERMILION", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":521.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921660-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LIP FULL THICK; UP TO HAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40652", "description":"REPR LIP FULL THICK; UP TO HAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":614.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921661-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LIP FULL THICK; > 1/2 VER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40654", "description":"REPR LIP FULL THICK; > 1/2 VER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":712.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921662-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4065F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921663-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4066F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921664-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4067F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921665-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4069F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921666-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLASTIC REPR CLEFT LIP/NASAL D", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40700", "description":"PLASTIC REPR CLEFT LIP/NASAL D", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1166.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921667-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLASTIC REPR CLEFT LIP; PRIM B", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40701", "description":"PLASTIC REPR CLEFT LIP; PRIM B", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1375.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921668-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLASTIC REPR CLEFT LIP; PRIM B", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40702", "description":"PLASTIC REPR CLEFT LIP; PRIM B", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1087.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921669-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4070F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921670-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLASTIC REPR CLEFT LIP; SECNDR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40720", "description":"PLASTIC REPR CLEFT LIP; SECNDR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1266.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921671-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4073F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921672-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4075F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921673-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLASTIC REPR CLEFT LIP; W/CROS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40761", "description":"PLASTIC REPR CLEFT LIP; W/CROS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1331.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921674-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4077F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921675-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4079F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921676-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAIN ABSCESS/CYST VESTIBULE M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40800", "description":"DRAIN ABSCESS/CYST VESTIBULE M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":238.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921677-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAIN ABSCESS/CYST VESTIBULE M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40801", "description":"DRAIN ABSCESS/CYST VESTIBULE M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":365.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921678-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV EMBEDDED FB VESTIBULE MO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40804", "description":"REMOV EMBEDDED FB VESTIBULE MO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":250.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921679-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV EMBEDDED FB VESTIBULE MO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40805", "description":"REMOV EMBEDDED FB VESTIBULE MO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":391.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921680-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS LABIAL FRENUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40806", "description":"INCS LABIAL FRENUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":127.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921681-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX VESTIBULE MOUTH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40808", "description":"BX VESTIBULE MOUTH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":212.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921682-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES-MUCOS/SUBMUCOSA-VESTIB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40810", "description":"EXC LES-MUCOS/SUBMUCOSA-VESTIB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":239.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921683-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES-MUCOS/SUBMUCOSA-MOUTH;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40812", "description":"EXC LES-MUCOS/SUBMUCOSA-MOUTH;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":336.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921684-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES-MUCOS/SUBMUCOSA-MOUTH;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40814", "description":"EXC LES-MUCOS/SUBMUCOSA-MOUTH;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":455.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921685-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES-VESTIBULE-MOUTH; COMPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40816", "description":"EXC LES-VESTIBULE-MOUTH; COMPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":479.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921686-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MUCOS VESTIBULE MOUTH AS D", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40818", "description":"EXC MUCOS VESTIBULE MOUTH AS D", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":423.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921687-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC FRENUM LABIAL/BUCCAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40819", "description":"EXC FRENUM LABIAL/BUCCAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":362.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921688-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT LES/SCAR VESTIBULE MOU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40820", "description":"DESTRCT LES/SCAR VESTIBULE MOU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":305.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921689-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO LACERATION VESTIBULE MOUTH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40830", "description":"CLO LACERATION VESTIBULE MOUTH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":294.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921690-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO LACERATION VESTIBULE MOUTH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40831", "description":"CLO LACERATION VESTIBULE MOUTH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":386.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921691-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VESTIBULOPLASTY; ANT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40840", "description":"VESTIBULOPLASTY; ANT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":986.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921692-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VESTIBULOPLASTY; POST UNILAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40842", "description":"VESTIBULOPLASTY; POST UNILAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":997.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921693-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VESTIBULOPLASTY; POST BILAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40843", "description":"VESTIBULOPLASTY; POST BILAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1259.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921694-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VESTIBULOPLASTY; ENTIRE ARCH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40844", "description":"VESTIBULOPLASTY; ENTIRE ARCH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1670.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921695-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VESTIBULOPLASTY; COMPLX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"40845", "description":"VESTIBULOPLASTY; COMPLX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1849.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921696-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4084F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921697-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4086F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921698-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4090F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921699-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4095F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921700-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTRAORAL I&D ABSCESS/CYST TON", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41000", "description":"INTRAORAL I&D ABSCESS/CYST TON", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":194.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921701-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTRAORAL I&D ABSCESS TONGUE/M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41005", "description":"INTRAORAL I&D ABSCESS TONGUE/M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":264.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921702-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTRAORAL I&D ABSCESS; SUBLING", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41006", "description":"INTRAORAL I&D ABSCESS; SUBLING", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":435.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921703-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTRAORAL I&D ABSCESS/CYST; SU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41007", "description":"INTRAORAL I&D ABSCESS/CYST; SU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":434.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921704-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTRAORAL I&D ABSCESS/CYST; SU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41008", "description":"INTRAORAL I&D ABSCESS/CYST; SU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":442.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921705-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTRAORAL I&D ABSCESS/CYST; MA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41009", "description":"INTRAORAL I&D ABSCESS/CYST; MA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":471.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921706-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4100F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921707-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS LINGUAL FRENUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41010", "description":"INCS LINGUAL FRENUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":244.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921708-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTRAORAL I&D ABSCESS FLOOR MO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41015", "description":"EXTRAORAL I&D ABSCESS FLOOR MO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":511.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921709-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTRAORAL I&D ABSCESS FLOOR MO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41016", "description":"EXTRAORAL I&D ABSCESS FLOOR MO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":522.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921710-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTRAORAL I&D ABSCESS FLOOR MO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41017", "description":"EXTRAORAL I&D ABSCESS FLOOR MO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":527.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921711-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTRAORAL I&D ABSCESS MOUTH; M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41018", "description":"EXTRAORAL I&D ABSCESS MOUTH; M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":605.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921712-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41019", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":617.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921713-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX TONGUE; ANT TWO-THIRDS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41100", "description":"BX TONGUE; ANT TWO-THIRDS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":204.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921714-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX TONGUE; POST ONE-THIRD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41105", "description":"BX TONGUE; POST ONE-THIRD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":203.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921715-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX FLOOR MOUTH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41108", "description":"BX FLOOR MOUTH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":174.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921716-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4110F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921717-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES TONGUE WO CLO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41110", "description":"EXC LES TONGUE WO CLO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":250.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921718-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES TONGUE W/CLO; ANT TWO-", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41112", "description":"EXC LES TONGUE W/CLO; ANT TWO-", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":396.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921719-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES TONGUE W/CLO; POST ONE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41113", "description":"EXC LES TONGUE W/CLO; POST ONE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":433.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921720-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES TONGUE W/CLO; W/LOCAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41114", "description":"EXC LES TONGUE W/CLO; W/LOCAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":798.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921721-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LINGUAL FRENUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41115", "description":"EXC LINGUAL FRENUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":284.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921722-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES FLOOR MOUTH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41116", "description":"EXC LES FLOOR MOUTH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":384.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921723-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GLOSSECTOMY; < ONE-HALF TONGUE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41120", "description":"GLOSSECTOMY; < ONE-HALF TONGUE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1320.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921724-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GLOSSECTOMY; HEMIGLOSSECTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41130", "description":"GLOSSECTOMY; HEMIGLOSSECTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1611.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921725-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GLOSSECTOMY; PART W/UNILAT RAD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41135", "description":"GLOSSECTOMY; PART W/UNILAT RAD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2672.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921726-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GLOSSECTOMY; COMPLT/TOT W/WO T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41140", "description":"GLOSSECTOMY; COMPLT/TOT W/WO T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2770.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921727-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GLOSSECTOMY; COMPLT/TOT W/UNIL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41145", "description":"GLOSSECTOMY; COMPLT/TOT W/UNIL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3439.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921728-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GLOSSECTOMY; COMPOSITE WO RADI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41150", "description":"GLOSSECTOMY; COMPOSITE WO RADI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2728.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921729-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GLOSSECTOMY; COMPOSITE W/SUPRA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41153", "description":"GLOSSECTOMY; COMPOSITE W/SUPRA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2943.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921730-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GLOSSECTOMY; COMPOSITE & RADIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41155", "description":"GLOSSECTOMY; COMPOSITE & RADIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3611.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921731-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4115F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921732-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4120F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921733-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4124F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921734-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LACERATION 2.5 CM/LESS; A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41250", "description":"REPR LACERATION 2.5 CM/LESS; A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":270.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921735-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LACERATION 2.5 CM/LESS; P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41251", "description":"REPR LACERATION 2.5 CM/LESS; P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":294.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921736-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LACERAT TONGUE/FLOOR MOUT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41252", "description":"REPR LACERAT TONGUE/FLOOR MOUT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":373.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921737-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4130F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921738-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4131F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921739-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4132F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921740-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4133F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921741-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4134F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921742-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4135F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921743-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4136F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921744-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4140F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921745-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4142F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921746-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4144F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921747-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4145F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921748-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4148F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921749-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4149F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921750-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4150F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921751-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE TONGUE TO LIP MICROGNAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41510", "description":"SUTURE TONGUE TO LIP MICROGNAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":546.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921752-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41512", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921753-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4151F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921754-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FRENOPLASTY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41520", "description":"FRENOPLASTY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":413.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921755-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41530", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921756-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4153F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921757-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4155F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921758-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4157F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921759-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4158F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921760-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4159F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921761-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4163F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921762-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4164F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921763-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4165F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921764-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4167F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921765-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4168F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921766-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4169F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921767-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4171F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921768-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4172F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921769-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4174F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921770-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4175F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921771-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4176F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921772-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4177F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921773-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4178F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921774-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4179F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921775-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE ABSCESS/CYST FROM DEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41800", "description":"DRAINAGE ABSCESS/CYST FROM DEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":254.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921776-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV EMBED FB-DENTOALVEOLAR S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41805", "description":"REMOV EMBED FB-DENTOALVEOLAR S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":255.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921777-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV EMBEDDED FB-DENTOALVEOLA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41806", "description":"REMOV EMBEDDED FB-DENTOALVEOLA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":387.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921778-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4180F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921779-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4181F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921780-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC FIBROUS TUBEROSITIES DENTO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41822", "description":"EXC FIBROUS TUBEROSITIES DENTO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":349.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921781-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC OSSEOUS TUBEROSITIES DENTO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41823", "description":"EXC OSSEOUS TUBEROSITIES DENTO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":503.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921782-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES/TUMOR DENTOALVEOLAR ST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41825", "description":"EXC LES/TUMOR DENTOALVEOLAR ST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":245.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921783-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES/TUMOR DENTOALVEOLAR ST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41826", "description":"EXC LES/TUMOR DENTOALVEOLAR ST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":318.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921784-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES DENTOALVEOLAR STRUCT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41827", "description":"EXC LES DENTOALVEOLAR STRUCT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":506.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921785-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC HYPERPLASTIC ALVEOLAR MUCO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41828", "description":"EXC HYPERPLASTIC ALVEOLAR MUCO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":370.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921786-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4182F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921787-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ALVEOLECTOMY INCL CURET OSTEIT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41830", "description":"ALVEOLECTOMY INCL CURET OSTEIT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":461.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921788-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4185F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921789-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4186F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921790-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GINGIVOPLASTY EA QUADRANT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41872", "description":"GINGIVOPLASTY EA QUADRANT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":436.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921791-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ALVEOLOPLASTY EA QUADRANT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"41874", "description":"ALVEOLOPLASTY EA QUADRANT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":438.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921792-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4187F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921793-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4188F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921794-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4189F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921795-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4190F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921796-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4191F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921797-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4192F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921798-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4193F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921799-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4194F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921800-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4195F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921801-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4196F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921802-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE ABSCESS PALATE UVULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42000", "description":"DRAINAGE ABSCESS PALATE UVULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":195.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921803-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4200F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921804-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4201F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921805-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX PALATE UVULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42100", "description":"BX PALATE UVULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":181.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921806-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES PALATE UVULA; WO CLO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42104", "description":"EXC LES PALATE UVULA; WO CLO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":244.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921807-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES PALATE UVULA; W/SIMPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42106", "description":"EXC LES PALATE UVULA; W/SIMPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":310.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921808-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES PALATE UVULA; W/LOCAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42107", "description":"EXC LES PALATE UVULA; W/LOCAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":549.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921809-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4210F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921810-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT PALATE/EXTEN RESECT LES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42120", "description":"RESECT PALATE/EXTEN RESECT LES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1205.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921811-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UVULECTOMY EXC UVULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42140", "description":"UVULECTOMY EXC UVULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":299.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921812-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PALATOPHARYNGOPLASTY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42145", "description":"PALATOPHARYNGOPLASTY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":874.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921813-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT LES PALATE/UVULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42160", "description":"DESTRCT LES PALATE/UVULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":301.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921814-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LACERATION PALATE; UP TO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42180", "description":"REPR LACERATION PALATE; UP TO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":296.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921815-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LACERATION PALATE; OVER 2", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42182", "description":"REPR LACERATION PALATE; OVER 2", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":403.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921816-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PALATOPLASTY-CLEFT PALATE SOFT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42200", "description":"PALATOPLASTY-CLEFT PALATE SOFT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1130.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921817-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PALATOPLASTY-CLEFT PALATE; SOF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42205", "description":"PALATOPLASTY-CLEFT PALATE; SOF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1160.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921818-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4220F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921819-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PALATOPLASTY CLEFT PALATE; W/B", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42210", "description":"PALATOPLASTY CLEFT PALATE; W/B", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1355.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921820-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PALATOPLASTY CLEFT PALATE; MAJ", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42215", "description":"PALATOPLASTY CLEFT PALATE; MAJ", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":900.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921821-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4221F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921822-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PALATOPLASTY CLEFT PALATE; SEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42220", "description":"PALATOPLASTY CLEFT PALATE; SEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":728.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921823-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PALATOPLASTY CLEFT PALATE; ATT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42225", "description":"PALATOPLASTY CLEFT PALATE; ATT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1255.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921824-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LENGTHENING PALATE & PHARYNGEA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42226", "description":"LENGTHENING PALATE & PHARYNGEA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1217.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921825-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LENGTHENING PALATE W/ISLAND FL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42227", "description":"LENGTHENING PALATE W/ISLAND FL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1200.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921826-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR ANT PALATE INCL VOMER FLA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42235", "description":"REPR ANT PALATE INCL VOMER FLA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":982.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921827-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR NASOLABIAL FISTULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42260", "description":"REPR NASOLABIAL FISTULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1046.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921828-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MAXIL IMPRESSION PALATAL PROST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42280", "description":"MAXIL IMPRESSION PALATAL PROST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":191.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921829-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT PIN-RETAINED PALATAL PRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42281", "description":"INSRT PIN-RETAINED PALATAL PRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":246.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921830-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE ABSCESS; PAROTID SIMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42300", "description":"DRAINAGE ABSCESS; PAROTID SIMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":253.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921831-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE ABSCESS; PAROTID COMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42305", "description":"DRAINAGE ABSCESS; PAROTID COMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":544.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921832-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4230F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921833-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE ABSCESS; SUBMAXIL/SUB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42310", "description":"DRAINAGE ABSCESS; SUBMAXIL/SUB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":199.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921834-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE ABSCESS; SUBMAXILLARY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42320", "description":"DRAINAGE ABSCESS; SUBMAXILLARY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":303.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921835-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIALOLITHOTOMY; SUBMANDIBULAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42330", "description":"SIALOLITHOTOMY; SUBMANDIBULAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":283.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921836-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIALOLITHOTOMY; SUBMANDIBULAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42335", "description":"SIALOLITHOTOMY; SUBMANDIBULAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":448.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921837-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIALOLITHOTOMY; PAROTID/COMPLI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42340", "description":"SIALOLITHOTOMY; PAROTID/COMPLI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":569.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921838-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX SALIVARY GLAND; NEEDLE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42400", "description":"BX SALIVARY GLAND; NEEDLE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":134.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921839-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX SALIVARY GLAND; INCS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42405", "description":"BX SALIVARY GLAND; INCS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":375.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921840-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC SUBLINGUAL SALIVARY CYST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42408", "description":"EXC SUBLINGUAL SALIVARY CYST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":555.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921841-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MARSUPIALIZATION SUBLINGUAL SA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42409", "description":"MARSUPIALIZATION SUBLINGUAL SA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":402.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921842-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4240F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921843-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC PAROTID TUMOR; LAT LOBE WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42410", "description":"EXC PAROTID TUMOR; LAT LOBE WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":788.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921844-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC PAROTID TUMOR; LAT LOBE W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42415", "description":"EXC PAROTID TUMOR; LAT LOBE W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1422.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921845-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC PAROTID TUMOR; TOT W/DISSE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42420", "description":"EXC PAROTID TUMOR; TOT W/DISSE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1633.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921846-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC PAROTID TUMOR; TOT W/SACRI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42425", "description":"EXC PAROTID TUMOR; TOT W/SACRI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1078.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921847-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC PAROTID TUMOR; TOT W/UNILA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42426", "description":"EXC PAROTID TUMOR; TOT W/UNILA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1747.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921848-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4242F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921849-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC SUBMANDIBULAR GLAND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42440", "description":"EXC SUBMANDIBULAR GLAND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":585.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921850-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC SUBLINGUAL GLAND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42450", "description":"EXC SUBLINGUAL GLAND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":556.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921851-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4245F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921852-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4248F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921853-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLASTIC REPR SALIVARY DUCT; PR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42500", "description":"PLASTIC REPR SALIVARY DUCT; PR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":528.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921854-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLASTIC REPR SALIVARY DUCT; SE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42505", "description":"PLASTIC REPR SALIVARY DUCT; SE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":692.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921855-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PAROTID DUCT DIVERSION BILAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42507", "description":"PAROTID DUCT DIVERSION BILAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":647.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921856-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PAROTID DIVERSION BILAT; W/EXC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42509", "description":"PAROTID DIVERSION BILAT; W/EXC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1089.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921857-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4250F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921858-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PAROTID DIVERSION BILAT; W/LIG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42510", "description":"PAROTID DIVERSION BILAT; W/LIG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":801.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921859-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC SIALOGRAPHY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42550", "description":"INJ PROC SIALOGRAPHY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":205.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921860-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4255F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921861-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4256F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921862-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO SALIVARY FISTULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42600", "description":"CLO SALIVARY FISTULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":589.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921863-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4260F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921864-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4261F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921865-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DILAT SALIVARY DUCT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42650", "description":"DILAT SALIVARY DUCT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":101.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921866-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4265F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921867-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DILAT & CATH SALIVARY DUCT W/W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42660", "description":"DILAT & CATH SALIVARY DUCT W/W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":131.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921868-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG SALIVARY DUCT INTRAORAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42665", "description":"LIG SALIVARY DUCT INTRAORAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":369.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921869-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4266F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921870-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4267F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921871-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4268F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921872-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4269F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921873-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D ABSCESS; PERITONSILLAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42700", "description":"I&D ABSCESS; PERITONSILLAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":229.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921874-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4270F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921875-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4271F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921876-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D ABSCESS; RETROPHARYNGEAL I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42720", "description":"I&D ABSCESS; RETROPHARYNGEAL I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":567.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921877-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D ABSCESS; RETROPHARYNGEAL E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42725", "description":"I&D ABSCESS; RETROPHARYNGEAL E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1020.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921878-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4274F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921879-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4276F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921880-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4279F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921881-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX; OROPHARYNX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42800", "description":"BX; OROPHARYNX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":193.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921882-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX; NASOPHARYNX VISIBLE LES SI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42804", "description":"BX; NASOPHARYNX VISIBLE LES SI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":253.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921883-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX; NASOPHARYNX SURVEY-UNKNOWN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42806", "description":"BX; NASOPHARYNX SURVEY-UNKNOWN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":286.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921884-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/DESTRCT LES PHARYNX ANY ME", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42808", "description":"EXC/DESTRCT LES PHARYNX ANY ME", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":282.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921885-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB FROM PHARYNX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42809", "description":"REMOV FB FROM PHARYNX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":211.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921886-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4280F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921887-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BRANCHIAL CLEFT CYST-CONFI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42810", "description":"EXC BRANCHIAL CLEFT CYST-CONFI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":478.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921888-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BRANCHIAL CLEFT CYST-BENEA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42815", "description":"EXC BRANCHIAL CLEFT CYST-BENEA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":698.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921889-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TONSILLECTOMY & ADENOIDECTOMY;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42820", "description":"TONSILLECTOMY & ADENOIDECTOMY;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":371.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921890-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TONSILLECTOMY & ADENOIDECTOMY;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42821", "description":"TONSILLECTOMY & ADENOIDECTOMY;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":388.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921891-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TONSILLECTOMY PRIM/SECNDRY; UN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42825", "description":"TONSILLECTOMY PRIM/SECNDRY; UN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":333.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921892-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TONSILLECTOMY PRIM/SECNDRY; AG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42826", "description":"TONSILLECTOMY PRIM/SECNDRY; AG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":321.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921893-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADENOIDECTOMY PRIM; UNDER AGE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42830", "description":"ADENOIDECTOMY PRIM; UNDER AGE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":262.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921894-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADENOIDECTOMY PRIM; AGE 12/OVE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42831", "description":"ADENOIDECTOMY PRIM; AGE 12/OVE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":282.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921895-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADENOIDECTOMY SECNDRY; UNDER A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42835", "description":"ADENOIDECTOMY SECNDRY; UNDER A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":230.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921896-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADENOIDECTOMY SECNDRY; AGE 12/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42836", "description":"ADENOIDECTOMY SECNDRY; AGE 12/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":309.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921897-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TONSIL/TONSILLA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42842", "description":"RADICAL RESECT TONSIL/TONSILLA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1200.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921898-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TONSIL/PILLARS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42844", "description":"RADICAL RESECT TONSIL/PILLARS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1709.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921899-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RADICAL RESECT TONSIL/PILLARS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42845", "description":"RADICAL RESECT TONSIL/PILLARS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2778.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921900-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC TONSIL TAGS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42860", "description":"EXC TONSIL TAGS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":236.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921901-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/DESTRCT LINGUAL TONSIL ANY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42870", "description":"EXC/DESTRCT LINGUAL TONSIL ANY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":724.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921902-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LTD PHARYNGECTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42890", "description":"LTD PHARYNGECTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1711.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921903-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT LAT PHARYNGEAL WALL DIR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42892", "description":"RESECT LAT PHARYNGEAL WALL DIR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2230.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921904-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT PHARYNGEAL WALL W/CLO W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42894", "description":"RESECT PHARYNGEAL WALL W/CLO W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2866.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921905-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE PHARYNX WOUND/INJURY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42900", "description":"SUTURE PHARYNX WOUND/INJURY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":442.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921906-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4290F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921907-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4293F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921908-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PHARYNGOPLASTY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42950", "description":"PHARYNGOPLASTY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1011.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921909-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PHARYNGOESOPHAGEAL REPR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42953", "description":"PHARYNGOESOPHAGEAL REPR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1285.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921910-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PHARYNGOSTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42955", "description":"PHARYNGOSTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":947.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921911-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONTRL OROPHARYNG HEMORR PRIM/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42960", "description":"CONTRL OROPHARYNG HEMORR PRIM/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":215.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921912-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONTRL OROPHARYNG HEMORR; COMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42961", "description":"CONTRL OROPHARYNG HEMORR; COMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":535.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921913-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONTRL OROPHARYNG HEMORR; W/SE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42962", "description":"CONTRL OROPHARYNG HEMORR; W/SE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":660.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921914-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONTRL NASOPHARYNG HEMORR; SIM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42970", "description":"CONTRL NASOPHARYNG HEMORR; SIM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":492.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921915-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONTRL NASOPHARYNG HEMORR; COM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42971", "description":"CONTRL NASOPHARYNG HEMORR; COM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":582.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921916-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONTRL NASOPHARYNG HEMORR; W/S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42972", "description":"CONTRL NASOPHARYNG HEMORR; W/S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":661.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921917-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"42975", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921918-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4300F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921919-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4301F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921920-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOTOMY CERV APPROACH; W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43020", "description":"ESOPHAGOTOMY CERV APPROACH; W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":682.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921921-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRICOPHARYNGEAL MYOTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43030", "description":"CRICOPHARYNGEAL MYOTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":665.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921922-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOTOMY THORACIC APPROACH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43045", "description":"ESOPHAGOTOMY THORACIC APPROACH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1654.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921923-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4305F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921924-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4306F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921925-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES ESOPHAGUS W/PRIMARY RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43100", "description":"EXC LES ESOPHAGUS W/PRIMARY RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":789.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921926-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES ESOPHAGUS W/PRIMARY RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43101", "description":"EXC LES ESOPHAGUS W/PRIMARY RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1289.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921927-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TOT ESOPHAGECT WO THORCTMY; W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43107", "description":"TOT ESOPHAGECT WO THORCTMY; W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3196.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921928-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TOT ESOPHAGECT WO THORCTMY; W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43108", "description":"TOT ESOPHAGECT WO THORCTMY; W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":5136.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921929-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TOT ESOPHAGECT W/THORCTMY; W/P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43112", "description":"TOT ESOPHAGECT W/THORCTMY; W/P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3423.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921930-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TOT ESOPHAGECT W/THORCTMY; W/I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43113", "description":"TOT ESOPHAGECT W/THORCTMY; W/I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":5057.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921931-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART ESOPHAGECT-CERV-W/GFT/MIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43116", "description":"PART ESOPHAGECT-CERV-W/GFT/MIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":5806.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921932-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART ESOPHAGECT W/THOR, ABD IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43117", "description":"PART ESOPHAGECT W/THOR, ABD IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3118.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921933-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART ESOPHAGECT W/THOR, ABD IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43118", "description":"PART ESOPHAGECT W/THOR, ABD IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4285.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921934-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART ESOPHAGECT W/THORCTMY, W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43121", "description":"PART ESOPHAGECT W/THORCTMY, W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3435.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921935-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART ESOPHAGECT THORABD APPRO;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43122", "description":"PART ESOPHAGECT THORABD APPRO;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3162.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921936-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART ESOPHAGECT THORABD APPRO;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43123", "description":"PART ESOPHAGECT THORABD APPRO;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":5181.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921937-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TOT/PART ESOPHAGECT WO RECON W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43124", "description":"TOT/PART ESOPHAGECT WO RECON W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4423.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921938-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIVERTICULECTOMY HYPOPHARYNX/E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43130", "description":"DIVERTICULECTOMY HYPOPHARYNX/E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1000.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921939-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIVERTICULECTOMY HYPOPHARYNX/E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43135", "description":"DIVERTICULECTOMY HYPOPHARYNX/E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1807.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921940-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43180", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921941-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43191", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921942-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43192", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921943-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43193", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921944-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43194", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921945-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43195", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921946-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43196", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921947-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43197", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921948-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43198", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921949-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOSCOPY RIGID/FLEX; DX W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43200", "description":"ESOPHAGOSCOPY RIGID/FLEX; DX W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":284.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921950-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43201", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":371.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921951-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOSCOPY RIGID/FLEX; W/BX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43202", "description":"ESOPHAGOSCOPY RIGID/FLEX; W/BX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":373.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921952-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOSCOPY RIGID/FLEX; W/IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43204", "description":"ESOPHAGOSCOPY RIGID/FLEX; W/IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":283.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921953-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOSCOPY RIGID/FLEX; W/BA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43205", "description":"ESOPHAGOSCOPY RIGID/FLEX; W/BA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":285.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921954-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43206", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921955-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4320F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921956-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43210", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921957-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43211", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921958-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43212", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921959-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43213", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921960-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43214", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921961-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOSCOPY RIGID/FLEX; W/RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43215", "description":"ESOPHAGOSCOPY RIGID/FLEX; W/RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":198.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921962-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOSCOPY RIGID/FLEX; REMO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43216", "description":"ESOPHAGOSCOPY RIGID/FLEX; REMO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":230.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921963-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOSCOPY RIGID/FLEX; W/RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43217", "description":"ESOPHAGOSCOPY RIGID/FLEX; W/RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":499.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921964-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOSCOPY RIGID/FLEX; W/BA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43220", "description":"ESOPHAGOSCOPY RIGID/FLEX; W/BA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":162.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921965-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOSCOPY RIGID/FLEX; W/IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43226", "description":"ESOPHAGOSCOPY RIGID/FLEX; W/IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":179.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921966-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOSCOPY RIGID/FLEX; W/CO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43227", "description":"ESOPHAGOSCOPY RIGID/FLEX; W/CO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":266.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921967-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43229", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921968-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4322F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921969-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43231", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":241.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921970-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43232", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":337.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921971-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43233", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921972-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UGI ENDO; DX W/WO COLLEC SPECM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43235", "description":"UGI ENDO; DX W/WO COLLEC SPECM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":392.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921973-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43236", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":487.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921974-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43237", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":304.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921975-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43238", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":375.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921976-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UGI ENDO; W/BX 1/MX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43239", "description":"UGI ENDO; W/BX 1/MX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":451.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921977-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43240", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":503.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921978-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UGI ENDO; W/TRANSENDOSCOPIC TU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43241", "description":"UGI ENDO; W/TRANSENDOSCOPIC TU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":197.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921979-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43242", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":537.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921980-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UGI ENDO; W/INJ SCLEROSIS-ESOP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43243", "description":"UGI ENDO; W/INJ SCLEROSIS-ESOP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":340.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921981-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UGI ENDO; W/BAND LIG ESOPH &/O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43244", "description":"UGI ENDO; W/BAND LIG ESOPH &/O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":376.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921982-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UGI ENDO; W/DILAT OUTLET-OBSTR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43245", "description":"UGI ENDO; W/DILAT OUTLET-OBSTR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":238.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921983-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UGI ENDO; W/DIRECTED PLCMT PER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43246", "description":"UGI ENDO; W/DIRECTED PLCMT PER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":318.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921984-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UGI ENDO; W/REMOV FB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43247", "description":"UGI ENDO; W/REMOV FB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":254.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921985-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UGI ENDO; W/INSRT GUIDE WIRE-D", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43248", "description":"UGI ENDO; W/INSRT GUIDE WIRE-D", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":240.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921986-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UGI ENDO; W/BALLOON DILAT ESOP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43249", "description":"UGI ENDO; W/BALLOON DILAT ESOP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":220.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921987-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4324F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921988-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UGI ENDO; W/REMOV TUMOR/POLYP/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43250", "description":"UGI ENDO; W/REMOV TUMOR/POLYP/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":239.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921989-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UGI ENDO; W/REMOV TUMOR/POLYP/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43251", "description":"UGI ENDO; W/REMOV TUMOR/POLYP/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":276.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921990-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43252", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921991-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43253", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921992-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43254", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921993-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UGI ENDO; W/CONTRL BLEEDING AN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43255", "description":"UGI ENDO; W/CONTRL BLEEDING AN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":358.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921994-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43257", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":390.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921995-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UGI ENDO; W/ENDO ULTRASOUND EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43259", "description":"UGI ENDO; W/ENDO ULTRASOUND EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":384.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921996-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4325F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921997-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ERCP; DX W/WO COLLEC SPECMN-BR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43260", "description":"ERCP; DX W/WO COLLEC SPECMN-BR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":440.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921998-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENDO RETROGRAD CHOLANGIOPANCRE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43261", "description":"ENDO RETROGRAD CHOLANGIOPANCRE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":462.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73921999-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ERCP; W/SPHINCTEROTOMY/PAPILLO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43262", "description":"ERCP; W/SPHINCTEROTOMY/PAPILLO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":544.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922000-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ERCP; W/PRESS MEASUR-SPHINCTER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43263", "description":"ERCP; W/PRESS MEASUR-SPHINCTER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":536.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922001-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ERCP; W/ENDO RETRO REMOV STONE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43264", "description":"ERCP; W/ENDO RETRO REMOV STONE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":652.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922002-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ERCP; W/ENDO RETRO DESTRCT-LIT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43265", "description":"ERCP; W/ENDO RETRO DESTRCT-LIT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":732.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922003-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43266", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922004-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4326F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922005-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43270", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922006-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43273", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922007-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43274", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922008-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43275", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922009-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43276", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922010-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43277", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922011-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43278", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922012-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43279", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922013-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43280", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1307.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922014-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43281", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922015-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43282", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922016-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43283", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922017-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43284", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922018-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43285", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922019-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESPHG TOT W/LAPS MOBLJ", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43286", "description":"ESPHG TOT W/LAPS MOBLJ", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922020-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESPHG DSTL 2/3 W/LAPS MOBLJ", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43287", "description":"ESPHG DSTL 2/3 W/LAPS MOBLJ", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922021-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESPHG THRSC MOBLJ", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43288", "description":"ESPHG THRSC MOBLJ", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922022-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4328F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922023-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOPLASTY CERV; WO REPR T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43300", "description":"ESOPHAGOPLASTY CERV; WO REPR T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":788.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922024-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOPLASTY CERV; W/REPR TR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43305", "description":"ESOPHAGOPLASTY CERV; W/REPR TR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1413.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922025-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4330F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922026-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOPLASTY THORACIC; WO RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43310", "description":"ESOPHAGOPLASTY THORACIC; WO RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1927.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922027-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOPLASTY THORACIC; W/REP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43312", "description":"ESOPHAGOPLASTY THORACIC; W/REP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2122.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922028-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43313", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3453.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922029-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43314", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3681.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922030-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOGASTROST W/WO VAGOTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43320", "description":"ESOPHAGOGASTROST W/WO VAGOTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1674.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922031-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOGASTRIC FUNDOPLASTY; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43325", "description":"ESOPHAGOGASTRIC FUNDOPLASTY; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1618.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922032-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43327", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922033-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43328", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922034-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOMYOTOMY; ABD APPROACH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43330", "description":"ESOPHAGOMYOTOMY; ABD APPROACH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1586.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922035-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOMYOTOMY; THORACIC APPR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43331", "description":"ESOPHAGOMYOTOMY; THORACIC APPR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1715.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922036-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43332", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922037-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43333", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922038-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43334", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922039-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43335", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922040-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43336", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922041-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43337", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922042-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43338", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922043-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOJEJUNOSTOMY; ABD APPRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43340", "description":"ESOPHAGOJEJUNOSTOMY; ABD APPRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1660.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922044-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOJEJUNOSTOMY; THORACIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43341", "description":"ESOPHAGOJEJUNOSTOMY; THORACIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1773.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922045-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOSTOMY FISTULIZATION-EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43351", "description":"ESOPHAGOSTOMY FISTULIZATION-EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1675.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922046-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOSTOMY FISTULIZATION-EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43352", "description":"ESOPHAGOSTOMY FISTULIZATION-EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1347.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922047-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GI RECON-PREV ESOPHAGECTOMY; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43360", "description":"GI RECON-PREV ESOPHAGECTOMY; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2873.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922048-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GI RECON-PREV ESOPHAGECTOMY; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43361", "description":"GI RECON-PREV ESOPHAGECTOMY; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3258.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922049-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG DIRECT ESOPH VARICES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43400", "description":"LIG DIRECT ESOPH VARICES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1893.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922050-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG/STAPLE GASTESOPH JNCTN-EXI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43405", "description":"LIG/STAPLE GASTESOPH JNCTN-EXI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1807.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922051-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4340F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922052-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE ESOPH WOUND/INJURY; CER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43410", "description":"SUTURE ESOPH WOUND/INJURY; CER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1241.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922053-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE ESOPH WOUND/INJURY; THO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43415", "description":"SUTURE ESOPH WOUND/INJURY; THO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2117.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922054-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO ESOPHAGOSTOMY/FISTULA; CER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43420", "description":"CLO ESOPHAGOSTOMY/FISTULA; CER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1238.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922055-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO ESOPHAGOSTOMY/FISTULA; THO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43425", "description":"CLO ESOPHAGOSTOMY/FISTULA; THO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1835.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922056-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DILAT ESOPH-UNGUIDED SOUND/BOU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43450", "description":"DILAT ESOPH-UNGUIDED SOUND/BOU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":208.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922057-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DILAT ESOPH OVER GUIDE WIRE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43453", "description":"DILAT ESOPH OVER GUIDE WIRE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":397.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922058-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ESOPHAGOGASTRIC TAMPONADE W/BA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43460", "description":"ESOPHAGOGASTRIC TAMPONADE W/BA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":278.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922059-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43497", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922060-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTROTOMY; W/EXPLOR/FB REMOV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43500", "description":"GASTROTOMY; W/EXPLOR/FB REMOV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":929.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922061-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTROTOMY; W/SUTURE REPR BLEE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43501", "description":"GASTROTOMY; W/SUTURE REPR BLEE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1600.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922062-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTROTOMY; W/SUTURE REPR EXIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43502", "description":"GASTROTOMY; W/SUTURE REPR EXIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1817.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922063-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4350F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922064-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTROTOMY; W/ESOPH DILAT & IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43510", "description":"GASTROTOMY; W/ESOPH DILAT & IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1182.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922065-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PYLOROMYOTOMY CUTTING PYLORIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43520", "description":"PYLOROMYOTOMY CUTTING PYLORIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":849.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922066-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX STOMACH; BY LAPAROTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43605", "description":"BX STOMACH; BY LAPAROTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":988.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922067-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LOCAL; ULCER/BEN TUMOR-STO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43610", "description":"EXC LOCAL; ULCER/BEN TUMOR-STO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1167.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922068-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LOCAL; MALIG TUMOR STOMACH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43611", "description":"EXC LOCAL; MALIG TUMOR STOMACH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1448.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922069-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTRECTOMY TOT; W/ESOPHAGOENT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43620", "description":"GASTRECTOMY TOT; W/ESOPHAGOENT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2365.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922070-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTRECTOMY TOT; W/ROUX-EN-Y R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43621", "description":"GASTRECTOMY TOT; W/ROUX-EN-Y R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2672.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922071-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTRECTOMY TOT; W/FORMAT INTE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43622", "description":"GASTRECTOMY TOT; W/FORMAT INTE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2723.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922072-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTRECTOMY PART DISTAL; W/GAS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43631", "description":"GASTRECTOMY PART DISTAL; W/GAS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1739.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922073-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTRECTOMY PART DISTAL; W/GAS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43632", "description":"GASTRECTOMY PART DISTAL; W/GAS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2323.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922074-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTRECTOMY PART DISTAL; W/ROU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43633", "description":"GASTRECTOMY PART DISTAL; W/ROU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2219.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922075-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTRECTOMY PART DISTAL; W/FOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43634", "description":"GASTRECTOMY PART DISTAL; W/FOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2443.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922076-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VAGOTOMY W/PART DIST GASTRECTO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43635", "description":"VAGOTOMY W/PART DIST GASTRECTO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":140.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922077-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VAGOTOMY INCL PYLOROPLASTY; TR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43640", "description":"VAGOTOMY INCL PYLOROPLASTY; TR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1394.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922078-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VAGOTOMY INCL PYLOROPLASTY; PA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43641", "description":"VAGOTOMY INCL PYLOROPLASTY; PA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1415.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922079-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43644", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2071.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922080-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43645", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2218.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922081-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43651", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":778.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922082-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43652", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":923.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922083-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43653", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":662.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922084-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43752", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":54.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922085-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43753", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922086-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43754", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922087-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43755", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922088-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43756", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922089-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43757", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922090-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPOSIT GASTRIC FEEDING TUBE T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43761", "description":"REPOSIT GASTRIC FEEDING TUBE T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":159.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922091-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43762", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922092-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43763", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922093-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43770", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1328.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922094-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43771", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1516.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922095-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43772", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1141.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922096-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43773", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1516.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922097-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43774", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1148.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922098-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43775", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922099-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PYLOROPLASTY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43800", "description":"PYLOROPLASTY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1107.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922100-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTRODUODENOSTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43810", "description":"GASTRODUODENOSTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1196.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922101-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTROJEJUNOSTOMY; WO VAGOTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43820", "description":"GASTROJEJUNOSTOMY; WO VAGOTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1526.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922102-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTROJEJUNOSTOMY; W/VAGOTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43825", "description":"GASTROJEJUNOSTOMY; W/VAGOTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1543.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922103-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTROSTOMY TEMPORARY (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43830", "description":"GASTROSTOMY TEMPORARY (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":821.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922104-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTROSTOMY TEMP (SEPART PROC)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43831", "description":"GASTROSTOMY TEMP (SEPART PROC)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":684.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922105-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTROSTOMY PERM W/CONSTRUCTIO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43832", "description":"GASTROSTOMY PERM W/CONSTRUCTIO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1262.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922106-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTRORRHAPHY SUTURE-PERFORATE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43840", "description":"GASTRORRHAPHY SUTURE-PERFORATE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1553.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922107-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GASTRIC RESTRICT WO BYP-MORBID", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43842", "description":"GASTRIC RESTRICT WO BYP-MORBID", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1469.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922108-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GAST RESTRICT WO BYP-MORBID OB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43843", "description":"GAST RESTRICT WO BYP-MORBID OB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1506.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922109-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43845", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2350.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922110-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GAST RESTRICT W/BYP-MORBID OBE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43846", "description":"GAST RESTRICT W/BYP-MORBID OBE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1942.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922111-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GAST RESTRIC W/BYP-MORBID OBES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43847", "description":"GAST RESTRIC W/BYP-MORBID OBES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2129.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922112-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS GASTRIC RESTRICT PROC (S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43848", "description":"REVIS GASTRIC RESTRICT PROC (S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2303.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922113-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS GASTRODUODENAL ANASTOM W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43850", "description":"REVIS GASTRODUODENAL ANASTOM W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1937.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922114-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS GASTRODUODENAL ANASTOM W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43855", "description":"REVIS GASTRODUODENAL ANASTOM W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2016.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922115-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS GASTROJEJUNAL ANASTOM; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43860", "description":"REVIS GASTROJEJUNAL ANASTOM; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1957.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922116-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS GASTROJEJUNAL ANASTOM; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43865", "description":"REVIS GASTROJEJUNAL ANASTOM; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2040.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922117-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO GASTROSTOMY SURG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43870", "description":"CLO GASTROSTOMY SURG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":836.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922118-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO GASTROCOLIC FISTULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43880", "description":"CLO GASTROCOLIC FISTULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1914.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922119-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43886", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":399.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922120-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43887", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":373.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922121-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"43888", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":531.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922122-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENTEROLYSIS (SEPART PROC)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44005", "description":"ENTEROLYSIS (SEPART PROC)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1305.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922123-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4400F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922124-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DUODENOTOMY-EXPLOR/BX/FB REMOV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44010", "description":"DUODENOTOMY-EXPLOR/BX/FB REMOV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1025.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922125-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TUBE/NEEDLE CATH JEJUNOST-ENTE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44015", "description":"TUBE/NEEDLE CATH JEJUNOST-ENTE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":179.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922126-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENTEROTOMY-SM BOWEL; EXPLOR/BX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44020", "description":"ENTEROTOMY-SM BOWEL; EXPLOR/BX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1152.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922127-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENTEROTOMY-SM BOWEL-NOT DUODEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44021", "description":"ENTEROTOMY-SM BOWEL-NOT DUODEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1161.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922128-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLOTOMY EXPLOR BX/FB REMOV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44025", "description":"COLOTOMY EXPLOR BX/FB REMOV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1171.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922129-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REDUCT VOLVULUS/INTUSSUSCEPTIO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44050", "description":"REDUCT VOLVULUS/INTUSSUSCEPTIO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1114.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922130-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORRECT MALROTATION BY LYSIS D", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44055", "description":"CORRECT MALROTATION BY LYSIS D", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1778.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922131-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX INTESTINE BY CAPSULE/TUBE/P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44100", "description":"BX INTESTINE BY CAPSULE/TUBE/P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":145.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922132-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC 1/MORE LES-BOWEL WO ANASTO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44110", "description":"EXC 1/MORE LES-BOWEL WO ANASTO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1005.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922133-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC 1/MORE LES-BOWEL WO ANASTO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44111", "description":"EXC 1/MORE LES-BOWEL WO ANASTO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1173.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922134-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENTERECTOMY SM INTES; SNGL RES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44120", "description":"ENTERECTOMY SM INTES; SNGL RES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1446.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922135-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENTERECTOMY SM INTES; EA ADD R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44121", "description":"ENTERECTOMY SM INTES; EA ADD R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":303.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922136-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENTERECTOMY SM INTES; W/ENTERO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44125", "description":"ENTERECTOMY SM INTES; W/ENTERO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1409.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922137-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44126", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2907.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922138-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44127", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3379.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922139-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44128", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":306.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922140-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENTEROENTEROSTOMY W/WO CUTAN E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44130", "description":"ENTEROENTEROSTOMY W/WO CUTAN E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1494.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922141-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MOBILIZA SPLENIC FLEXURE PERFM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44139", "description":"MOBILIZA SPLENIC FLEXURE PERFM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":151.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922142-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLECTOMY PART; W/ANASTOM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44140", "description":"COLECTOMY PART; W/ANASTOM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1610.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922143-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLECTOMY PART; W/SKIN LEVEL C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44141", "description":"COLECTOMY PART; W/SKIN LEVEL C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2090.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922144-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLECTOMY PART; W/END COLOSTOM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44143", "description":"COLECTOMY PART; W/END COLOSTOM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1982.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922145-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLECTOMY PART; W/RESECT & CRE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44144", "description":"COLECTOMY PART; W/RESECT & CRE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2058.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922146-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLECTOMY PART; W/COLOPROCTOST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44145", "description":"COLECTOMY PART; W/COLOPROCTOST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2012.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922147-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLECTOMY PART; W/COLOPROCTOST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44146", "description":"COLECTOMY PART; W/COLOPROCTOST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2493.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922148-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLECTOMY PART; ABD & TRANSANA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44147", "description":"COLECTOMY PART; ABD & TRANSANA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2212.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922149-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLECTOMY-TOT ABD-WO PROCTECTO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44150", "description":"COLECTOMY-TOT ABD-WO PROCTECTO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2190.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922150-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLECTOMY WO PROCTECTOMY; W/CO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44151", "description":"COLECTOMY WO PROCTECTOMY; W/CO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2504.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922151-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLECTOMY-TOT ABD-W/PROCTECTOM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44155", "description":"COLECTOMY-TOT ABD-W/PROCTECTOM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2458.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922152-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLECTOMY-TOT ABD-W/PROCTECT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44156", "description":"COLECTOMY-TOT ABD-W/PROCTECT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2697.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922153-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44157", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2733.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922154-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44158", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2803.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922155-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLECTOMY W/REMOV TERM ILEUM &", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44160", "description":"COLECTOMY W/REMOV TERM ILEUM &", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1479.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922156-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44180", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1108.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922157-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44186", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":784.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922158-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44187", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1326.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922159-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44188", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1457.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922160-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44202", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1667.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922161-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44203", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":302.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922162-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44204", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1863.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922163-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44205", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1628.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922164-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44206", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2112.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922165-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44207", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2220.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922166-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44208", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2418.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922167-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44210", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2156.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922168-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44211", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2654.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922169-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44212", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2481.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922170-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44213", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":238.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922171-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44227", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2012.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922172-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENTEROSTOMY/CECOSTOMY TUBE (SE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44300", "description":"ENTEROSTOMY/CECOSTOMY TUBE (SE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":999.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922173-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ILEOSTOMY/JEJUNOSTOMY NON-TUBE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44310", "description":"ILEOSTOMY/JEJUNOSTOMY NON-TUBE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1251.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922174-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS ILEOSTOMY; SIMPL (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44312", "description":"REVIS ILEOSTOMY; SIMPL (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":706.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922175-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS ILEOSTOMY; COMPLIC (SEPA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44314", "description":"REVIS ILEOSTOMY; COMPLIC (SEPA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1207.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922176-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONTINENT ILEOSTOMY (SEPART PR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44316", "description":"CONTINENT ILEOSTOMY (SEPART PR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1666.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922177-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLOSTOMY/SKIN LEVEL CECOSTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44320", "description":"COLOSTOMY/SKIN LEVEL CECOSTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1426.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922178-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLOSTOMY/CECOSTOMY; W/MX BX (", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44322", "description":"COLOSTOMY/CECOSTOMY; W/MX BX (", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1144.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922179-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS COLOSTOMY; SIMPL (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44340", "description":"REVIS COLOSTOMY; SIMPL (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":712.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922180-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS COLOSTOMY; COMPLIC (SEPA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44345", "description":"REVIS COLOSTOMY; COMPLIC (SEPA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1248.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922181-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS COLOSTOMY; W/REPR HERNIA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44346", "description":"REVIS COLOSTOMY; W/REPR HERNIA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1400.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922182-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SM INTEST ENDO ENTEROSC NOT IL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44360", "description":"SM INTEST ENDO ENTEROSC NOT IL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":199.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922183-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SM INTESTINAL ENDO NOT ILEUM;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44361", "description":"SM INTESTINAL ENDO NOT ILEUM;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":219.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922184-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SM INTESTINAL ENDO NOT ILEUM;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44363", "description":"SM INTESTINAL ENDO NOT ILEUM;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":261.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922185-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SM INTESTINAL ENDO NOT ILEUM;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44364", "description":"SM INTESTINAL ENDO NOT ILEUM;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":279.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922186-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SM INTEST ENDO WO ILEUM; W/REM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44365", "description":"SM INTEST ENDO WO ILEUM; W/REM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":248.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922187-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SM INTESTINAL ENDO NOT ILEUM;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44366", "description":"SM INTESTINAL ENDO NOT ILEUM;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":330.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922188-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SM INTEST ENDO NOT ILEUM; W/AB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44369", "description":"SM INTEST ENDO NOT ILEUM; W/AB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":335.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922189-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44370", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":362.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922190-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SM INTEST ENDO NOT ILEUM; W/PL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44372", "description":"SM INTEST ENDO NOT ILEUM; W/PL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":324.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922191-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SM INTESTINAL ENDO; W/GASTRO T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44373", "description":"SM INTESTINAL ENDO; W/GASTRO T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":260.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922192-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SM INTESTINL ENDO W/ILEUM; DX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44376", "description":"SM INTESTINL ENDO W/ILEUM; DX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":384.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922193-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SM INTESTINAL W/ILEUM; W/BX 1/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44377", "description":"SM INTESTINAL W/ILEUM; W/BX 1/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":407.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922194-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SM INTEST ENDO W/ILEUM; W/CONT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44378", "description":"SM INTEST ENDO W/ILEUM; W/CONT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":524.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922195-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44379", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":558.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922196-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ILEOSCOPY-STOMA; DX W/WO COLLE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44380", "description":"ILEOSCOPY-STOMA; DX W/WO COLLE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":87.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922197-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44381", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922198-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ILEOSCOPY-STOMA; W/BX 1/MX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44382", "description":"ILEOSCOPY-STOMA; W/BX 1/MX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":103.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922199-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44384", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922200-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENDO EVAL SM INTEST POUCH; DX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44385", "description":"ENDO EVAL SM INTEST POUCH; DX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":306.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922201-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENDO EVAL SM INTESTINAL POUCH;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44386", "description":"ENDO EVAL SM INTESTINAL POUCH;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":453.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922202-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLONOSCOPY-STOMA; DX W/WO COL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44388", "description":"COLONOSCOPY-STOMA; DX W/WO COL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":435.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922203-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLONOSCOPY-STOMA; DX W/WO COL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44388", "description":"COLONOSCOPY-STOMA; DX W/WO COL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":435.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"53", "additional_information":"PHCS-AOSDOC-73922204-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLONOSCOPY-STOMA; W/BX 1/MX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44389", "description":"COLONOSCOPY-STOMA; W/BX 1/MX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":516.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922205-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLONOSCOPY-STOMA; W/REMOV FB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44390", "description":"COLONOSCOPY-STOMA; W/REMOV FB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":595.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922206-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLONOSCOPY-STOMA; W/CONTRL BL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44391", "description":"COLONOSCOPY-STOMA; W/CONTRL BL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":677.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922207-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLONOSCOPY-STOMA; W/REMOV TUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44392", "description":"COLONOSCOPY-STOMA; W/REMOV TUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":557.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922208-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLONSCOPY-STOMA; W/REMOV TUMO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44394", "description":"COLONSCOPY-STOMA; W/REMOV TUMO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":648.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922209-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44401", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922210-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44402", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922211-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44403", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922212-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44404", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922213-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44405", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922214-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44406", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922215-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44407", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922216-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44408", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922217-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTRO LONG GI TUBE (SEPART PRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44500", "description":"INTRO LONG GI TUBE (SEPART PRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":33.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922218-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4450F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922219-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE SM INTESTINE; SNGL PERF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44602", "description":"SUTURE SM INTESTINE; SNGL PERF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1625.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922220-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE SM INTESTINE; MX PERFOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44603", "description":"SUTURE SM INTESTINE; MX PERFOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1857.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922221-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE LG INTESTINE; WO COLOST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44604", "description":"SUTURE LG INTESTINE; WO COLOST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1268.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922222-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE LG INTESTINE; W/COLOSTO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44605", "description":"SUTURE LG INTESTINE; W/COLOSTO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1568.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922223-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTEST STRICTUROPLASTY W/WO DI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44615", "description":"INTEST STRICTUROPLASTY W/WO DI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1285.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922224-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO ENTEROSTOMY LG/SM INTEST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44620", "description":"CLO ENTEROSTOMY LG/SM INTEST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1025.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922225-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO ENTEROSTOMY LG/SM INTEST;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44625", "description":"CLO ENTEROSTOMY LG/SM INTEST;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1216.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922226-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44626", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1939.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922227-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO INTESTINAL CUT FISTULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44640", "description":"CLO INTESTINAL CUT FISTULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1689.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922228-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO ENTEROENTERIC/ENTEROCOLIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44650", "description":"CLO ENTEROENTERIC/ENTEROCOLIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1754.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922229-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO ENTEROVESICAL FISTULA; WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44660", "description":"CLO ENTEROVESICAL FISTULA; WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1692.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922230-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO ENTEROVESICAL FISTULA; W/B", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44661", "description":"CLO ENTEROVESICAL FISTULA; W/B", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1903.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922231-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTESTINAL PLICATION (SEPART P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44680", "description":"INTESTINAL PLICATION (SEPART P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1272.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922232-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44700", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1235.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922233-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44701", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":209.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922234-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44705", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922235-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4470F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922236-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44720", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":332.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922237-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44721", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":479.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922238-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MECKEL'S DIVERTIC/OMPHALOM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44800", "description":"EXC MECKEL'S DIVERTIC/OMPHALOM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":908.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922239-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4480F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922240-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4481F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922241-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES MESENTERY (SEPART PROC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44820", "description":"EXC LES MESENTERY (SEPART PROC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":998.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922242-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE MESENTERY (SEPART PROC)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44850", "description":"SUTURE MESENTERY (SEPART PROC)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":888.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922243-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D APPENDICEAL ABSCESS TRANSA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44900", "description":"I&D APPENDICEAL ABSCESS TRANSA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":897.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922244-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPENDECTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44950", "description":"APPENDECTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":768.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922245-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPY; WHEN DONE PURPOSE @ TIME", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44955", "description":"APPY; WHEN DONE PURPOSE @ TIME", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":105.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922246-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"APPY; RUPT APPY W/ABSCESS/GEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44960", "description":"APPY; RUPT APPY W/ABSCESS/GEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1028.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922247-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"44970", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":705.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922248-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSRECTAL DRAINAGE PELVIC AB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45000", "description":"TRANSRECTAL DRAINAGE PELVIC AB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":486.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922249-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D SUBMUCOSAL ABSCESS RECTUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45005", "description":"I&D SUBMUCOSAL ABSCESS RECTUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":313.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922250-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4500F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922251-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D DEEP SUPRALEVATOR/PELVIREC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45020", "description":"I&D DEEP SUPRALEVATOR/PELVIREC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":628.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922252-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX ANORECTAL WALL ANAL APPROAC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45100", "description":"BX ANORECTAL WALL ANAL APPROAC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":340.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922253-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANORECTAL MYOMECTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45108", "description":"ANORECTAL MYOMECTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":416.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922254-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4510F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922255-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTECTOMY; COMPLT-ABDOMINOPE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45110", "description":"PROCTECTOMY; COMPLT-ABDOMINOPE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2219.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922256-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTECTOMY; PART RESECT RECTU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45111", "description":"PROCTECTOMY; PART RESECT RECTU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1301.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922257-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTECTOMY COMB ABDOMINOPERIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45112", "description":"PROCTECTOMY COMB ABDOMINOPERIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2285.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922258-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTECTOMY PART W/RECTAL MUCO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45113", "description":"PROCTECTOMY PART W/RECTAL MUCO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2343.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922259-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTECTOMY PART W/ANASTOM; AB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45114", "description":"PROCTECTOMY PART W/ANASTOM; AB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2141.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922260-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTECTOMY PART W/ANASTOM; TR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45116", "description":"PROCTECTOMY PART W/ANASTOM; TR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1938.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922261-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45119", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2346.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922262-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTECTOMY COMPLT; W/PULL-THR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45120", "description":"PROCTECTOMY COMPLT; W/PULL-THR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1868.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922263-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTECTOMY COMPLT; W/SUBTL/TO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45121", "description":"PROCTECTOMY COMPLT; W/SUBTL/TO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2055.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922264-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTECTOMY PART WO ANASTOM-PE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45123", "description":"PROCTECTOMY PART WO ANASTOM-PE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1324.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922265-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45126", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3469.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922266-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC RECTAL PROCIDENTIA W/ANAST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45130", "description":"EXC RECTAL PROCIDENTIA W/ANAST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1297.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922267-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC RECTAL PROCIDENTIA W/ANAST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45135", "description":"EXC RECTAL PROCIDENTIA W/ANAST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1591.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922268-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45136", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2209.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922269-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIVISION STRICT RECTUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45150", "description":"DIVISION STRICT RECTUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":462.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922270-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC RECTAL TUMOR-PROCTOTOMY/TR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45160", "description":"EXC RECTAL TUMOR-PROCTOTOMY/TR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1176.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922271-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45171", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922272-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45172", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922273-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT RECTAL TUMOR ANY METHD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45190", "description":"DESTRCT RECTAL TUMOR ANY METHD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":797.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922274-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4525F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922275-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4526F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922276-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTOSIGMOIDOSCOPY RIGID; DX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45300", "description":"PROCTOSIGMOIDOSCOPY RIGID; DX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":130.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922277-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTOSIGMOIDOSCOPY RIGID; W/D", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45303", "description":"PROCTOSIGMOIDOSCOPY RIGID; W/D", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1072.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922278-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTOSIGMOIDOSCOPY RIGID; W/B", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45305", "description":"PROCTOSIGMOIDOSCOPY RIGID; W/B", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":214.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922279-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTOSIGMOIDOSCOPY RIGID; W/R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45307", "description":"PROCTOSIGMOIDOSCOPY RIGID; W/R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":248.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922280-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTOSIGMOIDOSCOPY RIGID; REM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45308", "description":"PROCTOSIGMOIDOSCOPY RIGID; REM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":210.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922281-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTOSIGMOIDOSCOPY RIGID; REM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45309", "description":"PROCTOSIGMOIDOSCOPY RIGID; REM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":244.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922282-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTOSIGMOIDOS RIGID; W/REMOV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45315", "description":"PROCTOSIGMOIDOS RIGID; W/REMOV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":265.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922283-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTOSIGMOIDOSCOPY RIGID; W/C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45317", "description":"PROCTOSIGMOIDOSCOPY RIGID; W/C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":251.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922284-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTOSIGMOIDOSCOPY RIGID; W/A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45320", "description":"PROCTOSIGMOIDOSCOPY RIGID; W/A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":255.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922285-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTOSIGMOIDOSCOPY RIGID W/DE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45321", "description":"PROCTOSIGMOIDOSCOPY RIGID W/DE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":126.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922286-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45327", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":143.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922287-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIGMOIDOSCOPY FLEX; DX W/WO CO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45330", "description":"SIGMOIDOSCOPY FLEX; DX W/WO CO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":173.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922288-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIGMOIDOSCOPY FLEX; W/BX 1/MX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45331", "description":"SIGMOIDOSCOPY FLEX; W/BX 1/MX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":222.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922289-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIGMOIDOSCOPY FLEX; W/REMOV FB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45332", "description":"SIGMOIDOSCOPY FLEX; W/REMOV FB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":365.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922290-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIGMOIDOSCOPY FLEX; W/REMOV LE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45333", "description":"SIGMOIDOSCOPY FLEX; W/REMOV LE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":365.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922291-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIGMOIDOSCOPY FLEX; W/CONTRL B", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45334", "description":"SIGMOIDOSCOPY FLEX; W/CONTRL B", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":208.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922292-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45335", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":296.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922293-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIGMOIDOSCOPY FLEX; W/DECOMP V", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45337", "description":"SIGMOIDOSCOPY FLEX; W/DECOMP V", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":179.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922294-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIGMOIDOSCOPY FLEX; REMOV LES-", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45338", "description":"SIGMOIDOSCOPY FLEX; REMOV LES-", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":408.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922295-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45340", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":521.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922296-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45341", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":198.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922297-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"Y", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45342", "description":"Y", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":302.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922298-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45346", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922299-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45347", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922300-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45349", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922301-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45350", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922302-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLONOSCOPY FLEX-PROX SPLEN FL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45378", "description":"COLONOSCOPY FLEX-PROX SPLEN FL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":513.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922303-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLONOSCOPY FLEX-PROX SPLEN FL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45378", "description":"COLONOSCOPY FLEX-PROX SPLEN FL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":513.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"53", "additional_information":"PHCS-AOSDOC-73922304-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLONOSCOPY FLEX-PROX SPLEN FL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45379", "description":"COLONOSCOPY FLEX-PROX SPLEN FL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":646.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922305-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLONOSCOPY FLEX-PROX SPLEN FL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45380", "description":"COLONOSCOPY FLEX-PROX SPLEN FL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":613.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922306-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45381", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":596.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922307-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLONOSCOPY FLEX-PROX SPLEN FL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45382", "description":"COLONOSCOPY FLEX-PROX SPLEN FL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":813.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922308-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLONOSCOPY FLEX; REMOV TUMOR/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45384", "description":"COLONOSCOPY FLEX; REMOV TUMOR/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":602.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922309-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLONOSCOPY FLEX; W/REMOV TUMO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45385", "description":"COLONOSCOPY FLEX; W/REMOV TUMO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":689.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922310-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45386", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":874.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922311-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45388", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922312-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45389", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922313-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45390", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922314-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45391", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":379.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922315-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45392", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":478.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922316-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45393", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922317-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45395", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2397.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922318-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45397", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2594.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922319-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45398", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922320-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45400", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1387.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922321-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45402", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1855.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922322-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4540F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922323-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4541F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922324-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTOPLASTY; STENOSIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45500", "description":"PROCTOPLASTY; STENOSIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":602.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922325-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTOPLASTY; PROLAPSE MUCOS M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45505", "description":"PROCTOPLASTY; PROLAPSE MUCOS M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":655.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922326-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4550F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922327-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4551F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922328-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERIRECTAL INJ SCLEROSING SOLU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45520", "description":"PERIRECTAL INJ SCLEROSING SOLU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":144.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922329-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4552F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922330-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4553F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922331-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTOPEXY PROLAPSE; ABD APPRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45540", "description":"PROCTOPEXY PROLAPSE; ABD APPRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1261.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922332-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTOPEXY PROLAPSE; PERINEAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45541", "description":"PROCTOPEXY PROLAPSE; PERINEAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1088.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922333-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4554F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922334-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROCTOPEXY COMBO W/SIGMOID RES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45550", "description":"PROCTOPEXY COMBO W/SIGMOID RES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1751.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922335-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4555F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922336-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR RECTOCELE (SEPART PROC)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45560", "description":"REPR RECTOCELE (SEPART PROC)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":864.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922337-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR, REPR & DRAIN PRESACRUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45562", "description":"EXPLOR, REPR & DRAIN PRESACRUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1314.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922338-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR, REPR & DRAIN-RECTAL IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45563", "description":"EXPLOR, REPR & DRAIN-RECTAL IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1923.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922339-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4556F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922340-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4557F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922341-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4558F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922342-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4559F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922343-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4560F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922344-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4561F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922345-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4562F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922346-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"4563F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922347-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO RECTOVESICAL FISTULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45800", "description":"CLO RECTOVESICAL FISTULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1467.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922348-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO RECTOVESICAL FISTULA; W/CO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45805", "description":"CLO RECTOVESICAL FISTULA; W/CO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1692.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922349-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO RECTOURETHRAL FISTULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45820", "description":"CLO RECTOURETHRAL FISTULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1464.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922350-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO RECTOURETHRAL FISTULA; W/C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45825", "description":"CLO RECTOURETHRAL FISTULA; W/C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1738.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922351-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REDUCTION PROCIDENTIA (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45900", "description":"REDUCTION PROCIDENTIA (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":235.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922352-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DILAT ANAL SPHINCTER (SEP PRO)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45905", "description":"DILAT ANAL SPHINCTER (SEP PRO)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":199.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922353-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DILAT RECTAL STRICT (SEP PRO)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45910", "description":"DILAT RECTAL STRICT (SEP PRO)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":237.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922354-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FECAL IMPACTION/FB (SEP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45915", "description":"REMOV FECAL IMPACTION/FB (SEP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":383.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922355-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"45990", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":132.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922356-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46020", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":298.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922357-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV ANAL SETON OTHER MARKER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46030", "description":"REMOV ANAL SETON OTHER MARKER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":148.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922358-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D ISCHIORECTAL &/OR PERIRECT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46040", "description":"I&D ISCHIORECTAL &/OR PERIRECT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":586.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922359-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D INTRAMURAL/IM ABSCESS TRAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46045", "description":"I&D INTRAMURAL/IM ABSCESS TRAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":475.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922360-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D PERIANAL ABSCESS SUPERF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46050", "description":"I&D PERIANAL ABSCESS SUPERF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":212.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922361-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D ISCHIORECTAL/INTRAMURAL AB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46060", "description":"I&D ISCHIORECTAL/INTRAMURAL AB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":522.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922362-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS ANAL SEPTUM (INFANT)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46070", "description":"INCS ANAL SEPTUM (INFANT)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":252.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922363-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SPHINCTEROTOMY ANAL DIVIS SPHI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46080", "description":"SPHINCTEROTOMY ANAL DIVIS SPHI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":272.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922364-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS THROMBOSED HEMORRHOID EXT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46083", "description":"INCS THROMBOSED HEMORRHOID EXT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":200.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922365-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FISSURECTOMY W/WO SPHINCTEROTO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46200", "description":"FISSURECTOMY W/WO SPHINCTEROTO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":443.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922366-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PAPILLECTOMY/EXC SNGL TAG ANUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46220", "description":"PAPILLECTOMY/EXC SNGL TAG ANUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":219.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922367-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HEMORRHOIDECTOMY BY SIMPL LIG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46221", "description":"HEMORRHOIDECTOMY BY SIMPL LIG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":284.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922368-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC EXT HEMORRHOID TAGS &/OR M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46230", "description":"EXC EXT HEMORRHOID TAGS &/OR M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":305.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922369-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HEMORRHOIDECTOMY EXT COMPLT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46250", "description":"HEMORRHOIDECTOMY EXT COMPLT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":509.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922370-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HEMORRHOIDECTOMY INT & EXT SIM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46255", "description":"HEMORRHOIDECTOMY INT & EXT SIM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":571.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922371-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HEMORRHOIDECTOMY INT & EXT SIM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46257", "description":"HEMORRHOIDECTOMY INT & EXT SIM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":470.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922372-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HEMORRHOIDECTOMY INT & EXT SIM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46258", "description":"HEMORRHOIDECTOMY INT & EXT SIM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":513.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922373-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HEMORRHOIDECTOMY INT & EXT COM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46260", "description":"HEMORRHOIDECTOMY INT & EXT COM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":535.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922374-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HEMORRHOIDECTOMY COMPLX/EXTEN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46261", "description":"HEMORRHOIDECTOMY COMPLX/EXTEN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":599.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922375-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HEMORRHOIDECTOMY COMPLX/EXTEN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46262", "description":"HEMORRHOIDECTOMY COMPLX/EXTEN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":622.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922376-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG TX ANAL FISTULA; SUBQ", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46270", "description":"SURG TX ANAL FISTULA; SUBQ", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":543.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922377-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG TX ANAL FISTULA; SUBMUSCU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46275", "description":"SURG TX ANAL FISTULA; SUBMUSCU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":565.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922378-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG TX ANAL FISTULA; COMPLX/M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46280", "description":"SURG TX ANAL FISTULA; COMPLX/M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":520.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922379-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG TX ANAL FISTULA; 2ND STAG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46285", "description":"SURG TX ANAL FISTULA; 2ND STAG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":538.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922380-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO ANAL FISTULA W/RECTAL ADVA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46288", "description":"CLO ANAL FISTULA W/RECTAL ADVA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":614.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922381-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENUCLEATION/EXC EXT THROMBOTIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46320", "description":"ENUCLEATION/EXC EXT THROMBOTIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":202.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922382-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ SCLEROSING SOLUTION HEMORR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46500", "description":"INJ SCLEROSING SOLUTION HEMORR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":233.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922383-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46505", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":319.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922384-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANOSCOPY; DX W/WO COLLEC SPECM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46600", "description":"ANOSCOPY; DX W/WO COLLEC SPECM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":104.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922385-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46601", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922386-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANOSCOPY; DILAT ANY METHD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46604", "description":"ANOSCOPY; DILAT ANY METHD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":614.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922387-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANOSCOPY; W/BX 1/MX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46606", "description":"ANOSCOPY; W/BX 1/MX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":260.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922388-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46607", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922389-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANOSCOPY; W/REMOV FB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46608", "description":"ANOSCOPY; W/REMOV FB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":279.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922390-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANOSCOPY; W/REMOV 1 TUMOR/POLY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46610", "description":"ANOSCOPY; W/REMOV 1 TUMOR/POLY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":269.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922391-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANOSCOPY; W/REMOV 1 TUMOR/POLY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46611", "description":"ANOSCOPY; W/REMOV 1 TUMOR/POLY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":220.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922392-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANOSCOPY; W/REMOV MX TUMOR/LES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46612", "description":"ANOSCOPY; W/REMOV MX TUMOR/LES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":337.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922393-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANOSCOPY; W/CONTRL BLEEDING AN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46614", "description":"ANOSCOPY; W/CONTRL BLEEDING AN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":165.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922394-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANOSCOPY; W/ABLAT TUMOR/LES NO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46615", "description":"ANOSCOPY; W/ABLAT TUMOR/LES NO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":193.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922395-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANOPLASTY PLASTIC OR STRICT; A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46700", "description":"ANOPLASTY PLASTIC OR STRICT; A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":742.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922396-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANOPLASTY PLASTIC OR STRICT; I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46705", "description":"ANOPLASTY PLASTIC OR STRICT; I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":585.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922397-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46706", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":197.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922398-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46707", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922399-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46710", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1265.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922400-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46712", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2631.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922401-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LOW IMPERFORATE ANUS; W/A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46715", "description":"REPR LOW IMPERFORATE ANUS; W/A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":585.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922402-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LOW IMPERFORATE ANUS; W/T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46716", "description":"REPR LOW IMPERFORATE ANUS; W/T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1336.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922403-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR HIGH IMPERFORATE ANUS; PE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46730", "description":"REPR HIGH IMPERFORATE ANUS; PE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2176.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922404-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR HIGH IMPERFORATE ANUS; CO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46735", "description":"REPR HIGH IMPERFORATE ANUS; CO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2571.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922405-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR HI IMPERFORATE ANUS W/FIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46740", "description":"REPR HI IMPERFORATE ANUS W/FIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2435.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922406-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR HI IMPERFORAT ANUS W/FIST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46742", "description":"REPR HI IMPERFORAT ANUS W/FIST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2831.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922407-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR CLOACAL ANOMALY-SACROPERI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46744", "description":"REPR CLOACAL ANOMALY-SACROPERI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4058.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922408-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR CLOACAL ANOMALY-COMBO ABD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46746", "description":"REPR CLOACAL ANOMALY-COMBO ABD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4559.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922409-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR CLOACAL ANOMALY; W/VAG LE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46748", "description":"REPR CLOACAL ANOMALY; W/VAG LE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4698.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922410-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SPHINCTEROPLASTY-ANAL-INCONT/P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46750", "description":"SPHINCTEROPLASTY-ANAL-INCONT/P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":898.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922411-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SPHINCTEROPLASTY-ANAL-INCONT/P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46751", "description":"SPHINCTEROPLASTY-ANAL-INCONT/P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":746.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922412-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GFT RECTAL INCONT &/OR PROLAPS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46753", "description":"GFT RECTAL INCONT &/OR PROLAPS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":676.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922413-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV THIERSCH WIRE/SUTURE ANA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46754", "description":"REMOV THIERSCH WIRE/SUTURE ANA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":333.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922414-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SPHINCTEROPLASTY ANAL-ADULT; M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46760", "description":"SPHINCTEROPLASTY ANAL-ADULT; M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1277.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922415-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SPHINCTEROPLASTY-ANAL; LEVATOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46761", "description":"SPHINCTEROPLASTY-ANAL; LEVATOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1104.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922416-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT LES ANUS SIMPL; CHEM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46900", "description":"DESTRCT LES ANUS SIMPL; CHEM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":260.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922417-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT LES ANUS SIMPL; ELECTR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46910", "description":"DESTRCT LES ANUS SIMPL; ELECTR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":273.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922418-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT LES ANUS SIMPL; CRYOSU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46916", "description":"DESTRCT LES ANUS SIMPL; CRYOSU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":274.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922419-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT LES ANUS SIMPL; LASER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46917", "description":"DESTRCT LES ANUS SIMPL; LASER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":561.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922420-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT LES ANUS SIMPL; SURG E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46922", "description":"DESTRCT LES ANUS SIMPL; SURG E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":290.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922421-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT LES ANUS EXTEN ANY MET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46924", "description":"DESTRCT LES ANUS EXTEN ANY MET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":616.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922422-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46930", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922423-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CURET/CAUT ANAL FISSURE (SEPAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46940", "description":"CURET/CAUT ANAL FISSURE (SEPAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":245.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922424-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CURET/CAUT ANAL FISSURE (SEPAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46942", "description":"CURET/CAUT ANAL FISSURE (SEPAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":226.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922425-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG INT HEMORRHOIDS; SNGL PROC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46945", "description":"LIG INT HEMORRHOIDS; SNGL PROC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":318.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922426-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG INT HEMORRHOIDS; MX PROC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46946", "description":"LIG INT HEMORRHOIDS; MX PROC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":351.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922427-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46947", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":441.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922428-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"46948", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922429-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX LIVER NEEDLE; PERCUT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47000", "description":"BX LIVER NEEDLE; PERCUT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":373.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922430-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX LIVER NEEDLE; DONE @ TIME O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47001", "description":"BX LIVER NEEDLE; DONE @ TIME O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":130.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922431-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HEPATOTOMY DRAIN ABSCESS/CYST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47010", "description":"HEPATOTOMY DRAIN ABSCESS/CYST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1426.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922432-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAPAROT W/ASPIR/INJ HEPATIC PA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47015", "description":"LAPAROT W/ASPIR/INJ HEPATIC PA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1355.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922433-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX LIVER WEDGE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47100", "description":"BX LIVER WEDGE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":989.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922434-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HEPATECTOMY RESECT LIVER; PART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47120", "description":"HEPATECTOMY RESECT LIVER; PART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2789.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922435-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HEPATECTOMY RESECT LIVER; TRIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47122", "description":"HEPATECTOMY RESECT LIVER; TRIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4153.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922436-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HEPATECTOMY RESECT LIVER; TOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47125", "description":"HEPATECTOMY RESECT LIVER; TOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3726.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922437-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HEPATECTOMY RESECT LIVER; TOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47130", "description":"HEPATECTOMY RESECT LIVER; TOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4005.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922438-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIVER ALLOTRANSPL; ORTHOTOPIC-", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47135", "description":"LIVER ALLOTRANSPL; ORTHOTOPIC-", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":5896.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922439-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47140", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4174.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922440-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47141", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4973.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922441-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47142", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":5475.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922442-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47146", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":411.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922443-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47147", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":479.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922444-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MARSUPIALIZATION CYST/ABSCESS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47300", "description":"MARSUPIALIZATION CYST/ABSCESS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1326.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922445-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MGMT LIVER HEMORR; SIMPL SUT L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47350", "description":"MGMT LIVER HEMORR; SIMPL SUT L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1624.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922446-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MGMT LIVER HEMORR; COMPLX SUT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47360", "description":"MGMT LIVER HEMORR; COMPLX SUT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2211.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922447-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MGMT LIVER HEMORR; EXPLOR/EXTE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47361", "description":"MGMT LIVER HEMORR; EXPLOR/EXTE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3664.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922448-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MGMT LIVER HEMORR; RE-EXPLOR W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47362", "description":"MGMT LIVER HEMORR; RE-EXPLOR W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1682.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922449-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47370", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1495.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922450-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47371", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1502.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922451-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47380", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1742.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922452-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47381", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1781.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922453-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47382", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1085.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922454-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47383", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922455-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HEPATICOTOMY W/EXPLOR/DRAINAGE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47400", "description":"HEPATICOTOMY W/EXPLOR/DRAINAGE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2540.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922456-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHOLEDOCH W/EXPLOR/REMOV CALC;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47420", "description":"CHOLEDOCH W/EXPLOR/REMOV CALC;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1597.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922457-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHOLEDOCHOTOMY; W/TRANSDUODENA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47425", "description":"CHOLEDOCHOTOMY; W/TRANSDUODENA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1613.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922458-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSDUODENAL SPHINCTEROTOMY (", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47460", "description":"TRANSDUODENAL SPHINCTEROTOMY (", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1514.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922459-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHOLECYSTOTOMY W/EXPLOR/REMOV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47480", "description":"CHOLECYSTOTOMY W/EXPLOR/REMOV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1006.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922460-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT CHOLECYSTOSTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47490", "description":"PERCUT CHOLECYSTOSTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":685.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922461-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47531", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922462-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47532", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922463-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47533", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922464-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47534", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922465-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47535", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922466-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47536", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922467-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47537", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922468-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47538", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922469-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47539", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922470-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47540", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922471-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47541", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922472-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47542", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922473-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47543", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922474-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47544", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922475-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BILI ENDO INTRAOPERATIVE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47550", "description":"BILI ENDO INTRAOPERATIVE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":206.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922476-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BILI ENDO PERQ VIA T-TUBE/OTHE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47552", "description":"BILI ENDO PERQ VIA T-TUBE/OTHE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":432.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922477-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BILI ENDO PERCUT VIA T-TUBE/OT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47553", "description":"BILI ENDO PERCUT VIA T-TUBE/OT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":431.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922478-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BILI ENDO PERCUT VIA T-TUBE; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47554", "description":"BILI ENDO PERCUT VIA T-TUBE; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":642.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922479-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BILI ENDO VIA T-TUBE; W/DILAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47555", "description":"BILI ENDO VIA T-TUBE; W/DILAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":515.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922480-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BILI ENDO VIA T-TUBE; W/DILAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47556", "description":"BILI ENDO VIA T-TUBE; W/DILAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":582.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922481-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47562", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":877.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922482-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47563", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":902.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922483-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47564", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1044.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922484-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47570", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":930.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922485-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHOLEY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47600", "description":"CHOLEY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1245.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922486-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHOLEY; W/CHOLANGIOGRAPHY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47605", "description":"CHOLEY; W/CHOLANGIOGRAPHY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1167.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922487-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHOLEY W/EXPLOR COMMON DUCT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47610", "description":"CHOLEY W/EXPLOR COMMON DUCT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1495.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922488-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHOLEY W/EXPLOR COMMON DUCT; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47612", "description":"CHOLEY W/EXPLOR COMMON DUCT; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1508.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922489-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHOLEY; W/TRANSDUODENAL SPHINC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47620", "description":"CHOLEY; W/TRANSDUODENAL SPHINC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1635.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922490-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR CONGEN ATRESIA BILE DUC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47700", "description":"EXPLOR CONGEN ATRESIA BILE DUC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1242.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922491-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PORTOENTEROSTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47701", "description":"PORTOENTEROSTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2080.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922492-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BILE DUCT TUMOR W/WO PRIM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47711", "description":"EXC BILE DUCT TUMOR W/WO PRIM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1854.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922493-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BILE DUCT TUMOR W/WO PRIM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47712", "description":"EXC BILE DUCT TUMOR W/WO PRIM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2379.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922494-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC CHOLEDOCHAL CYST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47715", "description":"EXC CHOLEDOCHAL CYST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1560.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922495-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHOLECYSTOENTEROSTOMY; DIRECT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47720", "description":"CHOLECYSTOENTEROSTOMY; DIRECT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1344.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922496-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHOLECYSTOENTEROSTOMY; W/GASTR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47721", "description":"CHOLECYSTOENTEROSTOMY; W/GASTR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1584.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922497-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHOLECYSTOENTEROSTOMY; ROUX-EN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47740", "description":"CHOLECYSTOENTEROSTOMY; ROUX-EN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1534.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922498-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHOLECYSTOENTEROSTOMY; ROUX-EN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47741", "description":"CHOLECYSTOENTEROSTOMY; ROUX-EN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1739.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922499-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANASTOM EXTRAHEPATIC BILIARY D", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47760", "description":"ANASTOM EXTRAHEPATIC BILIARY D", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2577.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922500-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANASTOM INTRAHEPATIC DUCTS & G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47765", "description":"ANASTOM INTRAHEPATIC DUCTS & G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3343.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922501-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANASTOM ROUX-EN-Y EXTRAHEPATIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47780", "description":"ANASTOM ROUX-EN-Y EXTRAHEPATIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2811.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922502-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANASTOM ROUX-EN-Y INTRAHEPATIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47785", "description":"ANASTOM ROUX-EN-Y INTRAHEPATIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3642.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922503-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECON PLASTIC EXTRAHEPATIC BIL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47800", "description":"RECON PLASTIC EXTRAHEPATIC BIL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1876.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922504-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLCMT CHOLEDOCHAL STENT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47801", "description":"PLCMT CHOLEDOCHAL STENT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1312.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922505-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"U-TUBE HEPATICOENTEROSTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47802", "description":"U-TUBE HEPATICOENTEROSTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1796.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922506-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE EXTRAHEP DUCT PRE-EXIST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"47900", "description":"SUTURE EXTRAHEP DUCT PRE-EXIST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1626.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922507-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLCMT DRAINS PERIPANCREATIC-AC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48000", "description":"PLCMT DRAINS PERIPANCREATIC-AC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2234.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922508-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLCMT DRAINS; W/CHOLECYSTOS GA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48001", "description":"PLCMT DRAINS; W/CHOLECYSTOS GA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2760.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922509-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV PANCREATIC CALCU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48020", "description":"REMOV PANCREATIC CALCU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1374.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922510-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX PANCREAS OPEN ANY METHD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48100", "description":"BX PANCREAS OPEN ANY METHD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1049.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922511-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX PANCREAS PERCUT NEEDLE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48102", "description":"BX PANCREAS PERCUT NEEDLE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":689.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922512-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48105", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3395.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922513-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES PANCREAS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48120", "description":"EXC LES PANCREAS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1311.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922514-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PANCREATECTOMY DIST SUBTOT; WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48140", "description":"PANCREATECTOMY DIST SUBTOT; WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1857.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922515-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PANCREATECTOMY DISTAL SUBTL; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48145", "description":"PANCREATECTOMY DISTAL SUBTL; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1927.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922516-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PANCREATECTOMY DISTAL NEAR-TOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48146", "description":"PANCREATECTOMY DISTAL NEAR-TOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2207.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922517-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC AMPULLA VATER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48148", "description":"EXC AMPULLA VATER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1466.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922518-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PANCREATECTOMY PROX SUBTL W/PA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48150", "description":"PANCREATECTOMY PROX SUBTL W/PA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3729.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922519-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PANCREATECTMY W/TOT DUODEN; WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48152", "description":"PANCREATECTMY W/TOT DUODEN; WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3445.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922520-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PANCREATEC W/NEAR-TOT DUODEN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48153", "description":"PANCREATEC W/NEAR-TOT DUODEN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3726.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922521-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PANCREATEC W/NEAR-TOT DUODEN;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48154", "description":"PANCREATEC W/NEAR-TOT DUODEN;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3464.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922522-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PANCREATECTOMY TOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48155", "description":"PANCREATECTOMY TOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2136.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922523-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC INTRAOPERATIVE PANCRE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48400", "description":"INJ PROC INTRAOPERATIVE PANCRE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":133.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922524-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MARSUPIALIZATION CYST PANCREAS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48500", "description":"MARSUPIALIZATION CYST PANCREAS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1329.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922525-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXT DRAINAGE PSEUDOCYST PANCRE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48510", "description":"EXT DRAINAGE PSEUDOCYST PANCRE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1275.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922526-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INT ANASTOM PANCREATIC CYST-GI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48520", "description":"INT ANASTOM PANCREATIC CYST-GI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1293.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922527-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INT ANASTOM PANCREATIC CYST-GI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48540", "description":"INT ANASTOM PANCREATIC CYST-GI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1556.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922528-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PANCREATORRHAPHY TRAUMA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48545", "description":"PANCREATORRHAPHY TRAUMA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1573.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922529-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DUODENAL EXCLUS W/GASTROJEJUNO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48547", "description":"DUODENAL EXCLUS W/GASTROJEJUNO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2115.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922530-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48548", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1981.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922531-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48552", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":285.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922532-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSPC PANCREATIC ALLOGFT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48554", "description":"TRANSPC PANCREATIC ALLOGFT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2934.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922533-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV TRANSPL PANCREATIC ALLOG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"48556", "description":"REMOV TRANSPL PANCREATIC ALLOG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1447.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922534-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR LAPAROTOMY-CELIOTOMY W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49000", "description":"EXPLOR LAPAROTOMY-CELIOTOMY W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":926.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922535-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REOPENING RECENT LAPAROTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49002", "description":"REOPENING RECENT LAPAROTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1190.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922536-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR RETROPERITONEAL AREA W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49010", "description":"EXPLOR RETROPERITONEAL AREA W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1136.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922537-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49013", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922538-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49014", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922539-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAIN PERITONEAL ABSC-NOT APPE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49020", "description":"DRAIN PERITONEAL ABSC-NOT APPE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1894.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922540-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE SUBDIAPHRAGMATIC/SUBP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49040", "description":"DRAINAGE SUBDIAPHRAGMATIC/SUBP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1186.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922541-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE RETROPERITONEAL ABSCE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49060", "description":"DRAINAGE RETROPERITONEAL ABSCE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1329.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922542-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49062", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":905.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922543-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49082", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922544-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49083", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922545-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49084", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922546-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX ABD/RETROPERITONEAL MASS PE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49180", "description":"BX ABD/RETROPERITONEAL MASS PE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":231.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922547-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49185", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922548-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49203", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1440.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922549-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49204", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1835.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922550-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49205", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2100.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922551-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC PRESACRAL/SACROCOCCYGEAL T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49215", "description":"EXC PRESACRAL/SACROCOCCYGEAL T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2659.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922552-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STAGING CELIOTOMY-HODGKIN'S DI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49220", "description":"STAGING CELIOTOMY-HODGKIN'S DI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1161.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922553-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UMBILECTOMY/OMPHALECTOMY-EXC U", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49250", "description":"UMBILECTOMY/OMPHALECTOMY-EXC U", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":690.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922554-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OMENTECTOMY/EPIPLOECTOMY-RESEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49255", "description":"OMENTECTOMY/EPIPLOECTOMY-RESEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":939.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922555-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49320", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":400.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922556-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49321", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":419.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922557-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49322", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":457.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922558-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49323", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":767.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922559-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49324", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":472.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922560-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49325", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":507.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922561-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49326", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":232.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922562-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49327", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922563-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ AIR/CONTRAST-PERITONEAL CA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49400", "description":"INJ AIR/CONTRAST-PERITONEAL CA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":239.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922564-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49402", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1018.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922565-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49405", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922566-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49406", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922567-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49407", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922568-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49411", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922569-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49412", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922570-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49418", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922571-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49419", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":548.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922572-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT INTRAPERITONEAL CANNULA-", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49421", "description":"INSRT INTRAPERITONEAL CANNULA-", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":471.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922573-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV PERM INTRAPERITONEAL CAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49422", "description":"REMOV PERM INTRAPERITONEAL CAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":473.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922574-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49423", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":777.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922575-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49424", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":214.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922576-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT PERITONEAL-VENOUS SHUNT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49425", "description":"INSRT PERITONEAL-VENOUS SHUNT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":920.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922577-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS PERITONEAL-VENOUS SHUNT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49426", "description":"REVIS PERITONEAL-VENOUS SHUNT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":784.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922578-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC-EVAL PREV PLACED PERI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49427", "description":"INJ PROC-EVAL PREV PLACED PERI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":61.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922579-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG PERITONEAL-VENOUS SHUNT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49428", "description":"LIG PERITONEAL-VENOUS SHUNT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":535.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922580-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV PERITONEAL-VENOUS SHUNT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49429", "description":"REMOV PERITONEAL-VENOUS SHUNT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":559.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922581-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49435", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":150.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922582-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49436", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":226.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922583-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49440", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1514.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922584-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49441", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1797.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922585-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49442", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1466.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922586-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49446", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1499.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922587-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49450", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1049.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922588-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49451", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1111.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922589-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49452", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1360.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922590-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49460", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1112.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922591-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49465", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":233.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922592-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49491", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":898.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922593-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49492", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1121.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922594-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR INIT ING HERNIA < 6 MO; R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49495", "description":"REPR INIT ING HERNIA < 6 MO; R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":478.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922595-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR INIT ING HERNIA < 6 MO; I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49496", "description":"REPR INIT ING HERNIA < 6 MO; I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":713.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922596-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR INIT ING HERNIA 6 MO-< 5", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49500", "description":"REPR INIT ING HERNIA 6 MO-< 5", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":477.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922597-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR INIT ING HERNIA 6MO-<5YR;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49501", "description":"REPR INIT ING HERNIA 6MO-<5YR;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":706.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922598-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR INIT ING HERNIA 5 YR/MORE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49505", "description":"REPR INIT ING HERNIA 5 YR/MORE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":613.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922599-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR INIT ING HERNIA 5 YR/MORE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49507", "description":"REPR INIT ING HERNIA 5 YR/MORE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":755.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922600-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR RECURRENT ING HERNIA ANY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49520", "description":"REPR RECURRENT ING HERNIA ANY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":750.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922601-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR RECUR ING HERNIA; INCARCE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49521", "description":"REPR RECUR ING HERNIA; INCARCE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":916.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922602-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR ING HERNIA SLIDING ANY AG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49525", "description":"REPR ING HERNIA SLIDING ANY AG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":678.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922603-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LUMBAR HERNIA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49540", "description":"REPR LUMBAR HERNIA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":802.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922604-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR INIT FEM HERNIA ANY AGE;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49550", "description":"REPR INIT FEM HERNIA ANY AGE;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":683.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922605-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR INIT FEM HERNIA REDUCIBLE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49553", "description":"REPR INIT FEM HERNIA REDUCIBLE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":746.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922606-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR RECUR FEM HERNIA; REDUCIB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49555", "description":"REPR RECUR FEM HERNIA; REDUCIB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":710.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922607-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR RECUR FEM HERNIA; INCARCE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49557", "description":"REPR RECUR FEM HERNIA; INCARCE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":861.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922608-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR INIT INCS HERNIA; REDUCIB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49560", "description":"REPR INIT INCS HERNIA; REDUCIB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":883.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922609-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR INIT INCS HERNIA; INCARCE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49561", "description":"REPR INIT INCS HERNIA; INCARCE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1110.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922610-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR RECUR INCS HERNIA; REDUCI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49565", "description":"REPR RECUR INCS HERNIA; REDUCI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":912.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922611-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR RECUR INCS HERNIA; INCARC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49566", "description":"REPR RECUR INCS HERNIA; INCARC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1122.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922612-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPLNT MESH/OTHER PROSTH-INCS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49568", "description":"IMPLNT MESH/OTHER PROSTH-INCS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":333.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922613-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR EPIGASTRIC HERNIA; REDUCI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49570", "description":"REPR EPIGASTRIC HERNIA; REDUCI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":483.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922614-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR EPIGASTRIC HERNIA; INCARC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49572", "description":"REPR EPIGASTRIC HERNIA; INCARC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":594.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922615-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR UMBILICAL HERNIA < 5 YR;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49580", "description":"REPR UMBILICAL HERNIA < 5 YR;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":374.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922616-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR UMBILIC HERNIA <5 YR; INC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49582", "description":"REPR UMBILIC HERNIA <5 YR; INC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":556.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922617-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR UMBILICAL HERNIA 5 YR/OVE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49585", "description":"REPR UMBILICAL HERNIA 5 YR/OVE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":518.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922618-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR UMBILIC HERNIA 5 YR/OVER;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49587", "description":"REPR UMBILIC HERNIA 5 YR/OVER;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":615.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922619-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR SPIGELIAN HERNIA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49590", "description":"REPR SPIGELIAN HERNIA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":676.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922620-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR SM OMPHALOCELE W/PRIM CLO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49600", "description":"REPR SM OMPHALOCELE W/PRIM CLO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":876.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922621-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LG OMPHALOCELE/GASTROSCHI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49605", "description":"REPR LG OMPHALOCELE/GASTROSCHI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":5967.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922622-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LG OMPHALOCELE; W/REMOV P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49606", "description":"REPR LG OMPHALOCELE; W/REMOV P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1372.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922623-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR OMPHALOCELE; FIRST STAGE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49610", "description":"REPR OMPHALOCELE; FIRST STAGE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":831.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922624-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR OMPHALOCELE; SECOND STAGE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49611", "description":"REPR OMPHALOCELE; SECOND STAGE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":763.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922625-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49650", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":505.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922626-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49651", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":653.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922627-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49652", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922628-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49653", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922629-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49654", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922630-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49655", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922631-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49656", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922632-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49657", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922633-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE SECNDRY ABD WALL EVISCE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49900", "description":"SUTURE SECNDRY ABD WALL EVISCE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":971.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922634-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49904", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1863.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922635-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OMENTAL FLAP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"49905", "description":"OMENTAL FLAP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":445.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922636-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RENAL EXPLOR WO NECES OTHER SP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50010", "description":"RENAL EXPLOR WO NECES OTHER SP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":894.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922637-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE PERIRENAL/RENAL ABSCE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50020", "description":"DRAINAGE PERIRENAL/RENAL ABSCE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1282.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922638-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEPHROSTOMY NEPHROTOMY W/DRAIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50040", "description":"NEPHROSTOMY NEPHROTOMY W/DRAIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1192.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922639-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEPHROTOMY W/EXPLOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50045", "description":"NEPHROTOMY W/EXPLOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1186.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922640-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"5005F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922641-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEPHROLITHOTOMY; REMOV CALCU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50060", "description":"NEPHROLITHOTOMY; REMOV CALCU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1479.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922642-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEPHROLITHOTOMY; SECNDRY SURG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50065", "description":"NEPHROLITHOTOMY; SECNDRY SURG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1524.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922643-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEPHROLITHOTOMY; COMPLIC BY CO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50070", "description":"NEPHROLITHOTOMY; COMPLIC BY CO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1546.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922644-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEPHROLITHOTOMY; REMOV LG STAG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50075", "description":"NEPHROLITHOTOMY; REMOV LG STAG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1897.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922645-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT NEPHROSTOLITHOTOMY W/WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50080", "description":"PERCUT NEPHROSTOLITHOTOMY W/WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1132.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922646-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT NEPHROSTOLITHOTOMY W/WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50081", "description":"PERCUT NEPHROSTOLITHOTOMY W/WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1659.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922647-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSECT/REPOSIT ABERRANT RENA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50100", "description":"TRANSECT/REPOSIT ABERRANT RENA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1230.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922648-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"5010F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922649-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PYELOTOMY; W/EXPLOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50120", "description":"PYELOTOMY; W/EXPLOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1231.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922650-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PYELOTOMY; W/DRAINAGE PYELOSTO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50125", "description":"PYELOTOMY; W/DRAINAGE PYELOSTO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1286.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922651-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PYELOTOMY; W/REMOV CALCU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50130", "description":"PYELOTOMY; W/REMOV CALCU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1339.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922652-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PYELOTOMY; COMPLIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50135", "description":"PYELOTOMY; COMPLIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1457.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922653-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"5015F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922654-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RENAL BX; PERCUT BY TROCAR/NEE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50200", "description":"RENAL BX; PERCUT BY TROCAR/NEE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":190.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922655-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RENAL BX; BY SURG EXPOSURE KID", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50205", "description":"RENAL BX; BY SURG EXPOSURE KID", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":872.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922656-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"5020F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922657-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEPHRECTOMY INCL PART URETEREC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50220", "description":"NEPHRECTOMY INCL PART URETEREC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1326.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922658-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEPHRECT W/PART URETERECT; PRE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50225", "description":"NEPHRECT W/PART URETERECT; PRE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1540.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922659-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEPHRECTOMY; RADICAL W/REGIONA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50230", "description":"NEPHRECTOMY; RADICAL W/REGIONA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1658.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922660-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEPHRECTOMY W/TOT URETERECTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50234", "description":"NEPHRECTOMY W/TOT URETERECTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1687.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922661-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEPHRECTOMY W/TOT URETERECTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50236", "description":"NEPHRECTOMY W/TOT URETERECTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1907.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922662-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEPHRECTOMY PART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50240", "description":"NEPHRECTOMY PART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1709.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922663-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50250", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1589.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922664-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/UNROOFING CYST KIDNEY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50280", "description":"EXC/UNROOFING CYST KIDNEY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1222.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922665-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC PERINEPHRIC CYST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50290", "description":"EXC PERINEPHRIC CYST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1146.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922666-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DONOR NEPHRECTOMY W/PREP/MAINT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50320", "description":"DONOR NEPHRECTOMY W/PREP/MAINT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1688.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922667-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50327", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":256.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922668-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50328", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":226.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922669-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50329", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":218.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922670-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RECIPIENT NEPHRECTOMY (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50340", "description":"RECIPIENT NEPHRECTOMY (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1057.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922671-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RENAL ALLOTRANSPL; EXCLD DONOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50360", "description":"RENAL ALLOTRANSPL; EXCLD DONOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2861.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922672-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RENAL ALLOTRANSPL; W/RECIPIENT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50365", "description":"RENAL ALLOTRANSPL; W/RECIPIENT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3212.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922673-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV TRANSPL RENAL ALLOGFT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50370", "description":"REMOV TRANSPL RENAL ALLOGFT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1333.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922674-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RENAL AUTOTRANSPLANTATION REIM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50380", "description":"RENAL AUTOTRANSPLANTATION REIM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2168.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922675-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50382", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1825.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922676-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50384", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1637.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922677-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50385", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1743.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922678-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50386", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1127.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922679-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50387", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":865.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922680-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50389", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":538.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922681-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ASPIRAT &/OR INJ RENAL CYST/PE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50390", "description":"ASPIRAT &/OR INJ RENAL CYST/PE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":129.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922682-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50391", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":170.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922683-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MANOMETRIC STUDIES THRU NEPHRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50396", "description":"MANOMETRIC STUDIES THRU NEPHRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":156.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922684-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PYELOPLASTY W/WO PLASTIC ON UR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50400", "description":"PYELOPLASTY W/WO PLASTIC ON UR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1499.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922685-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PYELOPLASTY W/WO PLASTIC ON UR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50405", "description":"PYELOPLASTY W/WO PLASTIC ON UR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1803.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922686-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50430", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922687-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50431", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922688-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50432", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922689-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50433", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922690-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50434", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922691-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50435", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922692-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50436", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922693-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50437", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922694-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEPHRORRHAPHY SUTURE KIDNEY WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50500", "description":"NEPHRORRHAPHY SUTURE KIDNEY WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1474.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922695-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"5050F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922696-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO NEPHROCUTANEOUS/PYELOCUTAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50520", "description":"CLO NEPHROCUTANEOUS/PYELOCUTAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1337.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922697-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO NEPHROVISCERAL FISTULA W/V", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50525", "description":"CLO NEPHROVISCERAL FISTULA W/V", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1708.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922698-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO NEPHROVISCERAL FISTULA; TH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50526", "description":"CLO NEPHROVISCERAL FISTULA; TH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1731.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922699-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SYMPHYSIOTOMY W/WO PYELOPLASTY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50540", "description":"SYMPHYSIOTOMY W/WO PYELOPLASTY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1494.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922700-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAPARO ABLATE RENAL CYST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50541", "description":"LAPARO ABLATE RENAL CYST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1197.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922701-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAPARO ABLATE RENAL CYST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50542", "description":"LAPARO ABLATE RENAL CYST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1514.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922702-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAPARO PARTIAL NEPHRECTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50543", "description":"LAPARO PARTIAL NEPHRECTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1931.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922703-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAPAROSCOPY PYELOPLASTY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50544", "description":"LAPAROSCOPY PYELOPLASTY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2136.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922704-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50545", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2295.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922705-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50546", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1552.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922706-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50547", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2560.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922707-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50548", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1764.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922708-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RENAL ENDO-ESTAB NEPHROSTOMY E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50551", "description":"RENAL ENDO-ESTAB NEPHROSTOMY E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":491.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922709-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RENAL ENDO-ESTAB NEPHROSTOMY;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50553", "description":"RENAL ENDO-ESTAB NEPHROSTOMY;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":513.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922710-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RENAL ENDO-ESTAB NEPHROSTOMY;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50555", "description":"RENAL ENDO-ESTAB NEPHROSTOMY;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":565.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922711-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RENAL ENDO-ESTAB NEPHROSTOMY;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50557", "description":"RENAL ENDO-ESTAB NEPHROSTOMY;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":569.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922712-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RENAL ENDO-ESTAB NEPHROSTOMY;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50561", "description":"RENAL ENDO-ESTAB NEPHROSTOMY;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":643.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922713-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50562", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":774.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922714-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RENAL ENDO-NEPHROTOMY; W/WO IR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50570", "description":"RENAL ENDO-NEPHROTOMY; W/WO IR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":650.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922715-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RENAL ENDO-NEPHROTOMY; W/URETE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50572", "description":"RENAL ENDO-NEPHROTOMY; W/URETE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":705.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922716-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RENAL ENDO-NEPHROTOMY EXCLUS O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50574", "description":"RENAL ENDO-NEPHROTOMY EXCLUS O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":751.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922717-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RENAL ENDO-NEPHROTOMY; W/ENDOP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50575", "description":"RENAL ENDO-NEPHROTOMY; W/ENDOP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":947.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922718-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RENAL ENDO-NEPHROTOMY; W/FULG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50576", "description":"RENAL ENDO-NEPHROTOMY; W/FULG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":748.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922719-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RENAL ENDO-NEPHROTOMY EXCLUS O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50580", "description":"RENAL ENDO-NEPHROTOMY EXCLUS O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":805.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922720-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LITH EXTRACORPOREAL SHOCK WAVE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50590", "description":"LITH EXTRACORPOREAL SHOCK WAVE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1206.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922721-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50592", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":5927.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922722-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50593", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":6154.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922723-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETEROTOMY W/EXPLOR OR DRAINA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50600", "description":"URETEROTOMY W/EXPLOR OR DRAINA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1210.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922724-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETEROTOMY INSRT INDWELLING S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50605", "description":"URETEROTOMY INSRT INDWELLING S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1189.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922725-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50606", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922726-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"5060F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922727-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETEROLITHOTOMY; UPPER 1/3 UR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50610", "description":"URETEROLITHOTOMY; UPPER 1/3 UR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1242.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922728-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETEROLITHOTOMY; MID 1/3 URET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50620", "description":"URETEROLITHOTOMY; MID 1/3 URET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1174.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922729-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"5062F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922730-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETEROLITHOTOMY; LOWER 1/3 UR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50630", "description":"URETEROLITHOTOMY; LOWER 1/3 UR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1146.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922731-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETERECTOMY W/BLADDER CUFF (S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50650", "description":"URETERECTOMY W/BLADDER CUFF (S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1339.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922732-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETERECTOMY TOT-COMBO ABD/VAG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50660", "description":"URETERECTOMY TOT-COMBO ABD/VAG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1484.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922733-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC-URETEROGRAPHY THRU UR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50684", "description":"INJ PROC-URETEROGRAPHY THRU UR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":260.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922734-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MANOMETRIC STUDIES THRU URETER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50686", "description":"MANOMETRIC STUDIES THRU URETER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":217.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922735-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHANGE URETEROSTOMY TUBE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50688", "description":"CHANGE URETEROSTOMY TUBE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":108.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922736-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC-VISUALIZ ILEAL CONDUI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50690", "description":"INJ PROC-VISUALIZ ILEAL CONDUI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":138.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922737-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50693", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922738-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50694", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922739-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50695", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922740-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETEROPLASTY PLASTIC OR URETE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50700", "description":"URETEROPLASTY PLASTIC OR URETE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1208.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922741-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50705", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922742-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50706", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922743-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETEROLYSIS W/WO REPOSIT URET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50715", "description":"URETEROLYSIS W/WO REPOSIT URET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1455.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922744-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETEROLYSIS OVARIAN VEIN SYND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50722", "description":"URETEROLYSIS OVARIAN VEIN SYND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1268.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922745-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETEROLYSIS W/REANASTOM UPPER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50725", "description":"URETEROLYSIS W/REANASTOM UPPER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1405.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922746-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS URIN-CUT ANASTOM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50727", "description":"REVIS URIN-CUT ANASTOM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":650.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922747-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS URIN-CUT ANASTOM; W/REPR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50728", "description":"REVIS URIN-CUT ANASTOM; W/REPR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":899.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922748-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETEROPYELOSTOMY ANASTOM URET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50740", "description":"URETEROPYELOSTOMY ANASTOM URET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1409.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922749-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETEROCALYCOSTOMY ANASTOM URE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50750", "description":"URETEROCALYCOSTOMY ANASTOM URE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1502.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922750-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETEROURETEROSTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50760", "description":"URETEROURETEROSTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1417.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922751-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSURETEROURETEROSTOMY ANAST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50770", "description":"TRANSURETEROURETEROSTOMY ANAST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1500.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922752-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETERONEOCYSTOSTOMY; ANASTOM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50780", "description":"URETERONEOCYSTOSTOMY; ANASTOM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1414.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922753-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETERONEOCYSTOSTOMY; ANASTOM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50782", "description":"URETERONEOCYSTOSTOMY; ANASTOM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1428.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922754-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETERONEOCYSTOSTOMY; W/EXTEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50783", "description":"URETERONEOCYSTOSTOMY; W/EXTEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1479.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922755-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETERONEOCYSTOSTOMY; W/VESICO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50785", "description":"URETERONEOCYSTOSTOMY; W/VESICO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1563.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922756-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETEROENTEROSTOMY DIREC ANAST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50800", "description":"URETEROENTEROSTOMY DIREC ANAST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1186.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922757-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETEROSIGMOIDOSTOMY W/CREAT S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50810", "description":"URETEROSIGMOIDOSTOMY W/CREAT S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1609.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922758-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETEROCOLON CONDUIT INCL BOWE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50815", "description":"URETEROCOLON CONDUIT INCL BOWE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1575.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922759-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETEROILEAL CONDUIT INCL BOWE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50820", "description":"URETEROILEAL CONDUIT INCL BOWE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1687.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922760-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONTINENT DIVERSION INCL BOWEL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50825", "description":"CONTINENT DIVERSION INCL BOWEL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2138.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922761-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URIN UNDIVERSION", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50830", "description":"URIN UNDIVERSION", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2336.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922762-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPL ALL/PART URETER BY BOWEL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50840", "description":"REPL ALL/PART URETER BY BOWEL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1590.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922763-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CUT APPENDICO-VESICOSTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50845", "description":"CUT APPENDICO-VESICOSTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1609.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922764-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETEROSTOMY TRANSPL URETER TO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50860", "description":"URETEROSTOMY TRANSPL URETER TO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1227.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922765-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETERORRHAPHY SUTURE URETER (", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50900", "description":"URETERORRHAPHY SUTURE URETER (", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1084.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922766-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO URETEROCUTANEOUS FISTULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50920", "description":"CLO URETEROCUTANEOUS FISTULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1139.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922767-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO URETEROVISCERAL FISTULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50930", "description":"CLO URETEROVISCERAL FISTULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1411.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922768-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DELIGATION URETER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50940", "description":"DELIGATION URETER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1131.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922769-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAPAROSCOPY URETEROLITHOTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50945", "description":"LAPAROSCOPY URETEROLITHOTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1284.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922770-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAPARO NEW URETER/BLADDER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50947", "description":"LAPARO NEW URETER/BLADDER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1814.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922771-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAPARO NEW URETER/BLADDER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50948", "description":"LAPARO NEW URETER/BLADDER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1655.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922772-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETERAL ENDO-URETEROSTOMY EXC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50951", "description":"URETERAL ENDO-URETEROSTOMY EXC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":512.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922773-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETERAL ENDO-URETEROSTOMY; W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50953", "description":"URETERAL ENDO-URETEROSTOMY; W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":538.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922774-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETERAL ENDO-URETEROSTOMY W/W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50955", "description":"URETERAL ENDO-URETEROSTOMY W/W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":618.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922775-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETERAL ENDO-URETEROSTOMY; W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50957", "description":"URETERAL ENDO-URETEROSTOMY; W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":580.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922776-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETERAL ENDO-URETEROSTOMY; W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50961", "description":"URETERAL ENDO-URETEROSTOMY; W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":522.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922777-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETERAL ENDO-URETEROTOMY EXCL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50970", "description":"URETERAL ENDO-URETEROTOMY EXCL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":491.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922778-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETERAL ENDO-URETEROTOMY; W/U", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50972", "description":"URETERAL ENDO-URETEROTOMY; W/U", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":475.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922779-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETERAL ENDO-URETEROTOMY W/WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50974", "description":"URETERAL ENDO-URETEROTOMY W/WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":620.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922780-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETERAL ENDO-URETEROTOMY; W/F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50976", "description":"URETERAL ENDO-URETEROTOMY; W/F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":615.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922781-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETERAL ENDO-URETEROTOMY; W/R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"50980", "description":"URETERAL ENDO-URETEROTOMY; W/R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":472.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922782-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"5100F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922783-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOTOMY/CYSTOSTOMY; W/FULG &", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51020", "description":"CYSTOTOMY/CYSTOSTOMY; W/FULG &", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":598.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922784-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOTOMY/CYSTOSTOMY; W/CRYOSU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51030", "description":"CYSTOTOMY/CYSTOSTOMY; W/CRYOSU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":597.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922785-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOSTOMY CYSTOTOMY W/DRAINAG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51040", "description":"CYSTOSTOMY CYSTOTOMY W/DRAINAG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":378.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922786-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOTOMY W/INSRT URETERAL CAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51045", "description":"CYSTOTOMY W/INSRT URETERAL CAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":602.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922787-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOLITHOTOMY WO VESICAL NECK", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51050", "description":"CYSTOLITHOTOMY WO VESICAL NECK", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":607.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922788-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSVESICAL URETEROLITHOTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51060", "description":"TRANSVESICAL URETEROLITHOTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":751.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922789-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOTOMY W/STONE BASKET EXTRA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51065", "description":"CYSTOTOMY W/STONE BASKET EXTRA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":743.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922790-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE PERIVESICAL/PREVESICA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51080", "description":"DRAINAGE PERIVESICAL/PREVESICA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":525.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922791-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51100", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":84.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922792-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51101", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":171.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922793-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51102", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":445.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922794-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC URACHAL CYST W/WO UMBILICA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51500", "description":"EXC URACHAL CYST W/WO UMBILICA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":811.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922795-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOTOMY; SIMPL EXC VESICAL N", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51520", "description":"CYSTOTOMY; SIMPL EXC VESICAL N", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":766.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922796-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOTOMY; EXC BLADDER DIVERTI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51525", "description":"CYSTOTOMY; EXC BLADDER DIVERTI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1109.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922797-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOTOMY; EXC BLADDER TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51530", "description":"CYSTOTOMY; EXC BLADDER TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":995.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922798-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOTOMY EXC INCS/REPR URETER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51535", "description":"CYSTOTOMY EXC INCS/REPR URETER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1019.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922799-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTECTOMY PART; SIMPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51550", "description":"CYSTECTOMY PART; SIMPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1225.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922800-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTECTOMY PART; COMPLIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51555", "description":"CYSTECTOMY PART; COMPLIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1628.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922801-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTECTOMY PART W/REIMPLNT URE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51565", "description":"CYSTECTOMY PART W/REIMPLNT URE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1674.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922802-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTECTOMY COMPLT; (SEPART PRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51570", "description":"CYSTECTOMY COMPLT; (SEPART PRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1909.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922803-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTECTOMY COMPLT; W/BILAT PEL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51575", "description":"CYSTECTOMY COMPLT; W/BILAT PEL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2366.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922804-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTECTOMY COMPLT W/URETEROSIG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51580", "description":"CYSTECTOMY COMPLT W/URETEROSIG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2462.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922805-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTECTOMY W/URETERSIGMOIDOSTO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51585", "description":"CYSTECTOMY W/URETERSIGMOIDOSTO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2740.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922806-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTECTOMY COMPLT W/URETEROILE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51590", "description":"CYSTECTOMY COMPLT W/URETEROILE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2504.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922807-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTECTOMY COMPLT W/SIDMOID BL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51595", "description":"CYSTECTOMY COMPLT W/SIDMOID BL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2842.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922808-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTECTOMY COMPLT W/CONTINENT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51596", "description":"CYSTECTOMY COMPLT W/CONTINENT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3051.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922809-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PELVIC EXENTERATION FOR PROSTA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51597", "description":"PELVIC EXENTERATION FOR PROSTA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2951.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922810-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC-CYSTOGRAPHY/VOIDING U", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51600", "description":"INJ PROC-CYSTOGRAPHY/VOIDING U", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":274.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922811-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC/PLCMT CHAIN-CONTRAST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51605", "description":"INJ PROC/PLCMT CHAIN-CONTRAST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":50.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922812-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC RETROGRADE URETHROCYS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51610", "description":"INJ PROC RETROGRADE URETHROCYS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":156.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922813-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BLADDER IRRIGA SIMPL LAVAGE &/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51700", "description":"BLADDER IRRIGA SIMPL LAVAGE &/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":119.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922814-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51701", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":90.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922815-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51702", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":114.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922816-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51703", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":196.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922817-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHANGE CYSTOSTOMY TUBE; SIMPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51705", "description":"CHANGE CYSTOSTOMY TUBE; SIMPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":158.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922818-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHANGE CYSTOSTOMY TUBE; COMPLI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51710", "description":"CHANGE CYSTOSTOMY TUBE; COMPLI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":225.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922819-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENDO INJ IMPLNT MAT-URETHRE &/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51715", "description":"ENDO INJ IMPLNT MAT-URETHRE &/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":390.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922820-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BLADDER INSTILL ANTICARCINOGEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51720", "description":"BLADDER INSTILL ANTICARCINOGEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":159.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922821-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL CYSTOMETROGRAM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51725", "description":"SIMPL CYSTOMETROGRAM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":320.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922822-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL CYSTOMETROGRAM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51725", "description":"SIMPL CYSTOMETROGRAM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":100.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73922823-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL CYSTOMETROGRAM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51725", "description":"SIMPL CYSTOMETROGRAM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":220.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73922824-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COMPLX CYSTOMETROGRAM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51726", "description":"COMPLX CYSTOMETROGRAM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":450.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922825-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COMPLX CYSTOMETROGRAM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51726", "description":"COMPLX CYSTOMETROGRAM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":114.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73922826-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COMPLX CYSTOMETROGRAM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51726", "description":"COMPLX CYSTOMETROGRAM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":336.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73922827-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51727", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922828-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51727", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73922829-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51727", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73922830-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51728", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922831-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51728", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73922832-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51728", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73922833-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51729", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922834-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51729", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73922835-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51729", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73922836-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL UROFLOWMETRY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51736", "description":"SIMPL UROFLOWMETRY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":68.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922837-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL UROFLOWMETRY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51736", "description":"SIMPL UROFLOWMETRY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":41.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73922838-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SIMPL UROFLOWMETRY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51736", "description":"SIMPL UROFLOWMETRY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":27.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73922839-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COMPLX UROFLOWMETRY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51741", "description":"COMPLX UROFLOWMETRY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":108.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922840-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COMPLX UROFLOWMETRY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51741", "description":"COMPLX UROFLOWMETRY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":76.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73922841-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COMPLX UROFLOWMETRY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51741", "description":"COMPLX UROFLOWMETRY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":32.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73922842-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EMG ANAL/URETHRAL SPHINCTER-NO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51784", "description":"EMG ANAL/URETHRAL SPHINCTER-NO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":278.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922843-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EMG ANAL/URETHRAL SPHINCTER-NO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51784", "description":"EMG ANAL/URETHRAL SPHINCTER-NO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":102.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73922844-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EMG ANAL/URETHRAL SPHINCTER-NO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51784", "description":"EMG ANAL/URETHRAL SPHINCTER-NO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":177.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73922845-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEEDLE EMG STDY ANAL/URETHRAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51785", "description":"NEEDLE EMG STDY ANAL/URETHRAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":301.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922846-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEEDLE EMG STDY ANAL/URETHRAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51785", "description":"NEEDLE EMG STDY ANAL/URETHRAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":102.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73922847-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEEDLE EMG STDY ANAL/URETHRAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51785", "description":"NEEDLE EMG STDY ANAL/URETHRAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":199.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73922848-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STIMULUS EVOKED RESPONSE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51792", "description":"STIMULUS EVOKED RESPONSE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":333.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922849-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STIMULUS EVOKED RESPONSE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51792", "description":"STIMULUS EVOKED RESPONSE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":73.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73922850-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STIMULUS EVOKED RESPONSE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51792", "description":"STIMULUS EVOKED RESPONSE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":260.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73922851-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VOIDING PRESS STUDIES; INTRA-A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51797", "description":"VOIDING PRESS STUDIES; INTRA-A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":247.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922852-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VOIDING PRESS STUDIES; INTRA-A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51797", "description":"VOIDING PRESS STUDIES; INTRA-A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":62.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73922853-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VOIDING PRESS STUDIES; INTRA-A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51797", "description":"VOIDING PRESS STUDIES; INTRA-A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":186.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73922854-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51798", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":26.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922855-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOPLASTY/CYSTOURETHROPLASTY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51800", "description":"CYSTOPLASTY/CYSTOURETHROPLASTY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1347.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922856-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROPLASTY W/UNILAT/BI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51820", "description":"CYSTOURETHROPLASTY W/UNILAT/BI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1411.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922857-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANT VESICOURETHROPEXY/URETHROP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51840", "description":"ANT VESICOURETHROPEXY/URETHROP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":843.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922858-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANT VESICOURETHROPEXY/URETHROP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51841", "description":"ANT VESICOURETHROPEXY/URETHROP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1004.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922859-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ABD-VAG VESICAL NECK SUSPEN W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51845", "description":"ABD-VAG VESICAL NECK SUSPEN W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":760.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922860-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTORRHAPHY WOUND/INJURY/RUPT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51860", "description":"CYSTORRHAPHY WOUND/INJURY/RUPT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":932.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922861-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTORRHAPHY WOUND/INJURY/RUPT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51865", "description":"CYSTORRHAPHY WOUND/INJURY/RUPT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1145.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922862-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO CYSTOSTOMY (SEPART PROC)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51880", "description":"CLO CYSTOSTOMY (SEPART PROC)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":604.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922863-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO VESICOVAGINAL FISTULA ABD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51900", "description":"CLO VESICOVAGINAL FISTULA ABD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1064.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922864-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO VESICOUTERINE FISTULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51920", "description":"CLO VESICOUTERINE FISTULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":998.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922865-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO VESICOUTERINE FISTULA; W/H", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51925", "description":"CLO VESICOUTERINE FISTULA; W/H", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1400.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922866-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO BLADDER EXSTROPHY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51940", "description":"CLO BLADDER EXSTROPHY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2085.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922867-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENTEROCYSTOPLASTY INCL BOWEL A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51960", "description":"ENTEROCYSTOPLASTY INCL BOWEL A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1790.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922868-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CUT VESICOSTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51980", "description":"CUT VESICOSTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":918.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922869-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51990", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":965.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922870-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"51992", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1052.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922871-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY (SEPART PROC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52000", "description":"CYSTOURETHROSCOPY (SEPART PROC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":282.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922872-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52001", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":518.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922873-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/URETERAL C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52005", "description":"CYSTOURETHROSCOPY W/URETERAL C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":398.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922874-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY EXCLUS-RAD S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52007", "description":"CYSTOURETHROSCOPY EXCLUS-RAD S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":825.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922875-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"5200F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922876-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/EJACULATOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52010", "description":"CYSTOURETHROSCOPY W/EJACULATOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":617.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922877-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/BX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52204", "description":"CYSTOURETHROSCOPY W/BX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":695.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922878-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/FULG TRIGO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52214", "description":"CYSTOURETHROSCOPY W/FULG TRIGO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1626.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922879-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/FULG/TX MI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52224", "description":"CYSTOURETHROSCOPY W/FULG/TX MI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1538.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922880-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/FULG &/OR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52234", "description":"CYSTOURETHROSCOPY W/FULG &/OR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":324.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922881-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/FULG &/OR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52235", "description":"CYSTOURETHROSCOPY W/FULG &/OR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":380.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922882-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/FULG &/OR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52240", "description":"CYSTOURETHROSCOPY W/FULG &/OR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":665.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922883-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/INSRT RADI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52250", "description":"CYSTOURETHROSCOPY W/INSRT RADI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":318.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922884-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/DILAT BLAD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52260", "description":"CYSTOURETHROSCOPY W/DILAT BLAD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":275.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922885-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/DILAT BLAD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52265", "description":"CYSTOURETHROSCOPY W/DILAT BLAD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":663.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922886-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/INT URETHR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52270", "description":"CYSTOURETHROSCOPY W/INT URETHR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":615.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922887-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/INT URETHR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52275", "description":"CYSTOURETHROSCOPY W/INT URETHR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":849.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922888-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/DIREC VISI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52276", "description":"CYSTOURETHROSCOPY W/DIREC VISI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":349.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922889-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/RESECT EXT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52277", "description":"CYSTOURETHROSCOPY W/RESECT EXT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":428.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922890-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/CALIBRAT &", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52281", "description":"CYSTOURETHROSCOPY W/CALIBRAT &", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":446.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922891-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52282", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":442.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922892-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/STEROID IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52283", "description":"CYSTOURETHROSCOPY W/STEROID IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":381.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922893-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY TX FE URETHR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52285", "description":"CYSTOURETHROSCOPY TX FE URETHR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":384.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922894-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY;W/ CHEMODEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52287", "description":"CYSTOURETHROSCOPY;W/ CHEMODEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922895-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY; W/URETERAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52290", "description":"CYSTOURETHROSCOPY; W/URETERAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":321.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922896-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCPY; W/RESECT ORT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52300", "description":"CYSTOURETHROSCPY; W/RESECT ORT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":371.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922897-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY; W/RESECT EC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52301", "description":"CYSTOURETHROSCOPY; W/RESECT EC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":387.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922898-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY; W/INCS BLAD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52305", "description":"CYSTOURETHROSCOPY; W/INCS BLAD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":368.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922899-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/REMOV FB (", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52310", "description":"CYSTOURETHROSCOPY W/REMOV FB (", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":354.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922900-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/REMOV FB (", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52315", "description":"CYSTOURETHROSCOPY W/REMOV FB (", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":636.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922901-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LITH: CRUSH CALCU-BLADDER; SIM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52317", "description":"LITH: CRUSH CALCU-BLADDER; SIM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1475.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922902-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LITH: CRUSH CALCU-BLADDER; COM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52318", "description":"LITH: CRUSH CALCU-BLADDER; COM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":627.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922903-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY; W/REMOV URE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52320", "description":"CYSTOURETHROSCOPY; W/REMOV URE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":325.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922904-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY; W/FRAGMNT U", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52325", "description":"CYSTOURETHROSCOPY; W/FRAGMNT U", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":423.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922905-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY; W/SUBURETER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52327", "description":"CYSTOURETHROSCOPY; W/SUBURETER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1098.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922906-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY; W/MANIP WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52330", "description":"CYSTOURETHROSCOPY; W/MANIP WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1723.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922907-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/INSRT INDW", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52332", "description":"CYSTOURETHROSCOPY W/INSRT INDW", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":591.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922908-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/INSRT GUID", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52334", "description":"CYSTOURETHROSCOPY W/INSRT GUID", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":337.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922909-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52341", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":430.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922910-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52342", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":462.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922911-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52343", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":677.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922912-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52344", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":549.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922913-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52345", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":582.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922914-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52346", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":651.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922915-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52351", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":413.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922916-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTOURETHROSCOPY W/URETEROSCO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52352", "description":"CYSTOURETHROSCOPY W/URETEROSCO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":485.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922917-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSURETHRAL PROC.INC.FRAGMEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52353", "description":"TRANSURETHRAL PROC.INC.FRAGMEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":558.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922918-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52354", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":516.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922919-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52355", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":615.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922920-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CYSTO/URETERO W/LITHOTRIPSY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52356", "description":"CYSTO/URETERO W/LITHOTRIPSY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922921-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52400", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":719.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922922-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52402", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":354.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922923-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52441", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922924-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52442", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922925-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSURETHRAL INCS PROSTATE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52450", "description":"TRANSURETHRAL INCS PROSTATE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":602.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922926-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSURETHRAL RESECT BLADDER N", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52500", "description":"TRANSURETHRAL RESECT BLADDER N", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":710.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922927-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"5250F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922928-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"T U R P INCL CONTRL POSTOP BLE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52601", "description":"T U R P INCL CONTRL POSTOP BLE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1070.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922929-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSURETH RESEC; REGROWTH OBS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52630", "description":"TRANSURETH RESEC; REGROWTH OBS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":573.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922930-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSURETH RESEC; POSTOP BLADD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52640", "description":"TRANSURETH RESEC; POSTOP BLADD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":520.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922931-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NON-CONTACT LASER COAGULATION", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52647", "description":"NON-CONTACT LASER COAGULATION", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3433.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922932-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LASER SURGERY OF PROSTATE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52648", "description":"LASER SURGERY OF PROSTATE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3488.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922933-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52649", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1301.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922934-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSURETHRAL DRAINAGE PROSTAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"52700", "description":"TRANSURETHRAL DRAINAGE PROSTAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":561.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922935-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHROTOMY EXT (SEPART PROC);", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53000", "description":"URETHROTOMY EXT (SEPART PROC);", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":196.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922936-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHROTOMY EXT (SEPART PROC);", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53010", "description":"URETHROTOMY EXT (SEPART PROC);", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":379.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922937-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MEATOTOMY CUT MEATUS (SEPART P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53020", "description":"MEATOTOMY CUT MEATUS (SEPART P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":128.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922938-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MEATOTOMY CUTTING MEATUS (SEPA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53025", "description":"MEATOTOMY CUTTING MEATUS (SEPA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":89.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922939-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE DEEP PERIURETHRAL ABS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53040", "description":"DRAINAGE DEEP PERIURETHRAL ABS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":513.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922940-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE SKENE'S GLAND ABSCESS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53060", "description":"DRAINAGE SKENE'S GLAND ABSCESS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":237.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922941-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAIN PERINEAL URIN EXTRAVASAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53080", "description":"DRAIN PERINEAL URIN EXTRAVASAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":608.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922942-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE PERINEAL URIN EXTRAVA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53085", "description":"DRAINAGE PERINEAL URIN EXTRAVA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":839.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922943-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX URETHRA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53200", "description":"BX URETHRA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":203.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922944-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHRECTOMY TOT INCL CYSTOSTO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53210", "description":"URETHRECTOMY TOT INCL CYSTOSTO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1002.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922945-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHRECTOMY TOT INCL CYSTOSTO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53215", "description":"URETHRECTOMY TOT INCL CYSTOSTO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1208.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922946-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/FULG CARCINOMA URETHRA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53220", "description":"EXC/FULG CARCINOMA URETHRA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":584.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922947-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC URETHRAL DIVERTIC (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53230", "description":"EXC URETHRAL DIVERTIC (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":781.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922948-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC URETHRAL DIVERTIC (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53235", "description":"EXC URETHRAL DIVERTIC (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":824.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922949-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MARSUPIALIZATION URETHRAL DIVE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53240", "description":"MARSUPIALIZATION URETHRAL DIVE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":552.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922950-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BULBOURETHRAL GLAND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53250", "description":"EXC BULBOURETHRAL GLAND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":507.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922951-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/FULG; URETHRAL POLYP DISTA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53260", "description":"EXC/FULG; URETHRAL POLYP DISTA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":265.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922952-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/FULG; URETHRAL CARUNCLE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53265", "description":"EXC/FULG; URETHRAL CARUNCLE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":295.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922953-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/FULG; SKENE'S GLANDS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53270", "description":"EXC/FULG; SKENE'S GLANDS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":271.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922954-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/FULG; URETHRAL PROLAPSE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53275", "description":"EXC/FULG; URETHRAL PROLAPSE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":347.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922955-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHROPLASTY; 1ST STAGE-FISTU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53400", "description":"URETHROPLASTY; 1ST STAGE-FISTU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1037.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922956-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHROPLASTY; 2ND STAGE INCL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53405", "description":"URETHROPLASTY; 2ND STAGE INCL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1133.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922957-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHROPLASTY 1-STAGE RECON MA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53410", "description":"URETHROPLASTY 1-STAGE RECON MA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1621.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922958-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHROPLASTY 1 STAGE RECON PR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53415", "description":"URETHROPLASTY 1 STAGE RECON PR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1849.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922959-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHROPLASTY 2-STAGE RECON UR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53420", "description":"URETHROPLASTY 2-STAGE RECON UR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1066.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922960-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHROPLASTY, 2-STAGE RECON U", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53425", "description":"URETHROPLASTY, 2-STAGE RECON U", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1223.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922961-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHROPLASTY RECON FE URETHRA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53430", "description":"URETHROPLASTY RECON FE URETHRA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1238.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922962-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53431", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1501.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922963-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OR CORRECT MALE URIN INCONT W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53440", "description":"OR CORRECT MALE URIN INCONT W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1125.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922964-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV PERINEAL PROSTH FOR CONT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53442", "description":"REMOV PERINEAL PROSTH FOR CONT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":990.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922965-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53444", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1033.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922966-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OR-CORRECT URIN INCONT W/PLCMT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53445", "description":"OR-CORRECT URIN INCONT W/PLCMT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1136.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922967-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53446", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":835.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922968-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV/REPR/REPLAC INFLATABLE S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53447", "description":"REMOV/REPR/REPLAC INFLATABLE S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1060.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922969-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53448", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1667.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922970-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG CORRECT HYDRAULIC ABNL IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53449", "description":"SURG CORRECT HYDRAULIC ABNL IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":790.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922971-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHROMEATOPLASTY W/MUCOS ADV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53450", "description":"URETHROMEATOPLASTY W/MUCOS ADV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":525.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922972-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHROMEATOPLASTY W/PART EXC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53460", "description":"URETHROMEATOPLASTY W/PART EXC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":591.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922973-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53500", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":968.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922974-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHRORRHAPHY SUTURE URETHRAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53502", "description":"URETHRORRHAPHY SUTURE URETHRAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":627.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922975-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHRORRHAPHY SUTURE URETHRAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53505", "description":"URETHRORRHAPHY SUTURE URETHRAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":628.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922976-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHRORRHAPHY SUTURE URETHRAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53510", "description":"URETHRORRHAPHY SUTURE URETHRAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":828.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922977-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHRORRHAPHY SUTURE WOUND; P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53515", "description":"URETHRORRHAPHY SUTURE WOUND; P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1038.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922978-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO URETHROSTOMY FISTULA MALE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53520", "description":"CLO URETHROSTOMY FISTULA MALE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":722.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922979-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DILAT URETHRAL STRICT-SOUND DI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53600", "description":"DILAT URETHRAL STRICT-SOUND DI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":116.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922980-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DILAT URETHRAL STRICT-SOUND/DI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53601", "description":"DILAT URETHRAL STRICT-SOUND/DI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":113.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922981-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DILAT URETHRAL STRICT-MALE-GEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53605", "description":"DILAT URETHRAL STRICT-MALE-GEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":85.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922982-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DILAT URETHRAL STRICT-FILLIFOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53620", "description":"DILAT URETHRAL STRICT-FILLIFOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":172.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922983-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DILAT URETHRAL STRICT-FILLIFOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53621", "description":"DILAT URETHRAL STRICT-FILLIFOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":163.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922984-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DILAT FE URETHRA INCL SUPPOSIT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53660", "description":"DILAT FE URETHRA INCL SUPPOSIT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":100.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922985-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DILAT FE URETHRA INCL SUPPOSIT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53661", "description":"DILAT FE URETHRA INCL SUPPOSIT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":100.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922986-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DILAT FE URETHRA GEN/CONDUCTIO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53665", "description":"DILAT FE URETHRA GEN/CONDUCTIO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":50.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922987-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53850", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4059.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922988-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53852", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3889.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922989-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53854", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922990-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53855", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922991-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"53860", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922992-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SLITTING PREPUCE DORSAL/LAT (S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54000", "description":"SLITTING PREPUCE DORSAL/LAT (S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":215.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922993-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SLITTING PREPUCE DORSAL/LAT (S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54001", "description":"SLITTING PREPUCE DORSAL/LAT (S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":264.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922994-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D PENIS DEEP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54015", "description":"I&D PENIS DEEP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":404.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922995-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT LES PENIS SIMPL; CHEM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54050", "description":"DESTRCT LES PENIS SIMPL; CHEM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":156.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922996-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT LES PENIS SIMPL; ELECT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54055", "description":"DESTRCT LES PENIS SIMPL; ELECT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":148.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922997-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT LES PENIS SIMPL; CRYOS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54056", "description":"DESTRCT LES PENIS SIMPL; CRYOS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":162.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922998-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT LES PENIS SIMPL; LASER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54057", "description":"DESTRCT LES PENIS SIMPL; LASER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":182.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73922999-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT LES PENIS SIMPL; SURG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54060", "description":"DESTRCT LES PENIS SIMPL; SURG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":250.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923000-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT LES PENIS EXTEN ANY ME", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54065", "description":"DESTRCT LES PENIS EXTEN ANY ME", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":266.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923001-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX PENIS; CUT (SEPART PROC)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54100", "description":"BX PENIS; CUT (SEPART PROC)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":245.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923002-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX PENIS; DEEP STRUCT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54105", "description":"BX PENIS; DEEP STRUCT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":378.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923003-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC PENILE PLAQUE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54110", "description":"EXC PENILE PLAQUE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":813.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923004-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC PENILE PLAQUE; W/GFT TO 5", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54111", "description":"EXC PENILE PLAQUE; W/GFT TO 5", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1041.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923005-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC PENILE PLAQUE; W/GFT > 5 C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54112", "description":"EXC PENILE PLAQUE; W/GFT > 5 C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1223.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923006-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB FROM DEEP PENILE TISS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54115", "description":"REMOV FB FROM DEEP PENILE TISS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":585.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923007-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA PENIS; PART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54120", "description":"AMPUTA PENIS; PART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":814.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923008-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA PENIS; COMPLT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54125", "description":"AMPUTA PENIS; COMPLT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1051.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923009-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA PENIS RAD; W/BILAT INGU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54130", "description":"AMPUTA PENIS RAD; W/BILAT INGU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1551.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923010-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMPUTA PENIS RAD; W/BILAT PELV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54135", "description":"AMPUTA PENIS RAD; W/BILAT PELV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1971.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923011-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CIRCUMCISION USING CLAMP/OTHER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54150", "description":"CIRCUMCISION USING CLAMP/OTHER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":249.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923012-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CIRCUMCISION SURG EXC OTHER TH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54160", "description":"CIRCUMCISION SURG EXC OTHER TH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":320.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923013-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CIRCUMCISION SURG EXC NOT CLAM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54161", "description":"CIRCUMCISION SURG EXC NOT CLAM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":254.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923014-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54162", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":375.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923015-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54163", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":280.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923016-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54164", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":247.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923017-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC PEYRONIE DISEASE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54200", "description":"INJ PROC PEYRONIE DISEASE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":148.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923018-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC PEYRONIE DISEASE; W/S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54205", "description":"INJ PROC PEYRONIE DISEASE; W/S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":698.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923019-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IRRIGA CORPORA CAVERNOSA PRIAP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54220", "description":"IRRIGA CORPORA CAVERNOSA PRIAP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":297.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923020-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC CORPORA CAVERNOSOGRAP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54230", "description":"INJ PROC CORPORA CAVERNOSOGRAP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":128.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923021-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DYNAMIC CAVERNOSOMETRY INCL IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54231", "description":"DYNAMIC CAVERNOSOMETRY INCL IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":183.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923022-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ CORPORA CAVERNOSA W/PHARMA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54235", "description":"INJ CORPORA CAVERNOSA W/PHARMA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":116.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923023-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PENILE PLETHYSMOGRAPHY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54240", "description":"PENILE PLETHYSMOGRAPHY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":129.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923024-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PENILE PLETHYSMOGRAPHY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54240", "description":"PENILE PLETHYSMOGRAPHY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":87.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73923025-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PENILE PLETHYSMOGRAPHY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54240", "description":"PENILE PLETHYSMOGRAPHY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":42.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73923026-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NOCTURNAL PENILE TUMESCENCE &/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54250", "description":"NOCTURNAL PENILE TUMESCENCE &/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":162.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923027-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NOCTURNAL PENILE TUMESCENCE &/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54250", "description":"NOCTURNAL PENILE TUMESCENCE &/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":147.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73923028-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NOCTURNAL PENILE TUMESCENCE &/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54250", "description":"NOCTURNAL PENILE TUMESCENCE &/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":14.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73923029-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLASTIC OPERAT PENIS-STRAIGHT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54300", "description":"PLASTIC OPERAT PENIS-STRAIGHT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":847.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923030-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLASTIC OPERAT PENIS W/WO TRAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54304", "description":"PLASTIC OPERAT PENIS W/WO TRAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1292.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923031-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHROPLASTY 2ND STAGE HYPOSP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54308", "description":"URETHROPLASTY 2ND STAGE HYPOSP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":877.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923032-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHROPLASTY 2ND STAGE HYPOSP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54312", "description":"URETHROPLASTY 2ND STAGE HYPOSP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1105.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923033-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHROPLASTY 2ND STAGE HYPOSP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54316", "description":"URETHROPLASTY 2ND STAGE HYPOSP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1319.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923034-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"URETHROPLASTY 3RD STAGE RELEAS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54318", "description":"URETHROPLASTY 3RD STAGE RELEAS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":883.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923035-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"1 STAGE DISTAL HYPOSPADIAS REP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54322", "description":"1 STAGE DISTAL HYPOSPADIAS REP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1035.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923036-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"1 STAGE DISTAL HYPOSPADIAS REP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54324", "description":"1 STAGE DISTAL HYPOSPADIAS REP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1290.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923037-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"1 STAGE DISTAL HYPOSPADIAS REP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54326", "description":"1 STAGE DISTAL HYPOSPADIAS REP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1245.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923038-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"1 STAGE DISTAL HYPOSPADIAS REP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54328", "description":"1 STAGE DISTAL HYPOSPADIAS REP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1229.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923039-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"1 STAGE PROX PENILE REPR REQUI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54332", "description":"1 STAGE PROX PENILE REPR REQUI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1333.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923040-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"1 STAGE PERINEAL HYPOSPADIAS R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54336", "description":"1 STAGE PERINEAL HYPOSPADIAS R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1510.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923041-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR HYPOSPADIAS COMPLIC; BY C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54340", "description":"REPR HYPOSPADIAS COMPLIC; BY C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":752.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923042-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR HYPOSPADIAS COMPLIC; REQ", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54344", "description":"REPR HYPOSPADIAS COMPLIC; REQ", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1269.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923043-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR HYPOSPADIAS COMPLIC; REQ", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54348", "description":"REPR HYPOSPADIAS COMPLIC; REQ", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1347.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923044-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR HYPOSPADIAS CRIPPLE REQ E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54352", "description":"REPR HYPOSPADIAS CRIPPLE REQ E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1911.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923045-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLASTIC OR PENIS TO CORRECT AN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54360", "description":"PLASTIC OR PENIS TO CORRECT AN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1233.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923046-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLASTIC OR PENIS EPISPADIAS DI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54380", "description":"PLASTIC OR PENIS EPISPADIAS DI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1050.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923047-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLASTIC OR PENIS EPISPADIAS; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54385", "description":"PLASTIC OR PENIS EPISPADIAS; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1279.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923048-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLASTIC OR PENIS EPISPADIAS; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54390", "description":"PLASTIC OR PENIS EPISPADIAS; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1523.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923049-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT PENILE PROSTH; NON-INFLA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54400", "description":"INSRT PENILE PROSTH; NON-INFLA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":696.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923050-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT PENILE PROSTH; INFLATABL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54401", "description":"INSRT PENILE PROSTH; INFLATABL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":848.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923051-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT INFLATBL PENILE PROSTH W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54405", "description":"INSRT INFLATBL PENILE PROSTH W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1052.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923052-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54406", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":948.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923053-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54408", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1018.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923054-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54410", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1202.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923055-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV/REPLC PENIS PROS COMP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54411", "description":"REMOV/REPLC PENIS PROS COMP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1317.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923056-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54415", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":682.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923057-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54416", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":909.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923058-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54417", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1157.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923059-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORPORA CAVERNOSA-SAPHENOUS VE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54420", "description":"CORPORA CAVERNOSA-SAPHENOUS VE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":921.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923060-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORPORA CAVERNOSA-CORPUS SPONG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54430", "description":"CORPORA CAVERNOSA-CORPUS SPONG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":833.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923061-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORPORA CAVERNOSA-GLANS PENIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54435", "description":"CORPORA CAVERNOSA-GLANS PENIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":542.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923062-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54437", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923063-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54438", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923064-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FORESKIN MANIP INCL LYSIS PREP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54450", "description":"FORESKIN MANIP INCL LYSIS PREP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":100.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923065-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX TESTIS NEEDLE (SEPART PROC)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54500", "description":"BX TESTIS NEEDLE (SEPART PROC)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":97.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923066-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX TESTIS INCS (SEPART PROC)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54505", "description":"BX TESTIS INCS (SEPART PROC)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":279.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923067-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54512", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":696.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923068-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ORCHIECTOMY SIMPL W/WO TESTICU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54520", "description":"ORCHIECTOMY SIMPL W/WO TESTICU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":423.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923069-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54522", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":762.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923070-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ORCHIECTOMY RADICAL TUMOR; ING", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54530", "description":"ORCHIECTOMY RADICAL TUMOR; ING", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":713.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923071-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ORCHIECTOMY RADICAL TUMOR; W/A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54535", "description":"ORCHIECTOMY RADICAL TUMOR; W/A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":950.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923072-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR UNDESCENDED TESTIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54550", "description":"EXPLOR UNDESCENDED TESTIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":631.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923073-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR UNDESCENDED TESTIS W/AB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54560", "description":"EXPLOR UNDESCENDED TESTIS W/AB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":887.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923074-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REDUCTION TORSION TESTIS-SURG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54600", "description":"REDUCTION TORSION TESTIS-SURG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":584.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923075-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FIXA CONTRALATERAL TESTIS (SEP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54620", "description":"FIXA CONTRALATERAL TESTIS (SEP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":393.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923076-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ORCHIOPEXY-ING APPROACH-W/WO H", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54640", "description":"ORCHIOPEXY-ING APPROACH-W/WO H", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":599.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923077-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ORCHIOPEXY ABD APPROACH INTRA-", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54650", "description":"ORCHIOPEXY ABD APPROACH INTRA-", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":884.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923078-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT TESTICULAR PROSTH (SEPAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54660", "description":"INSRT TESTICULAR PROSTH (SEPAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":460.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923079-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE/REPR TESTICULAR INJURY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54670", "description":"SUTURE/REPR TESTICULAR INJURY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":529.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923080-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSPL TESTIS TO THIGH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54680", "description":"TRANSPL TESTIS TO THIGH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1031.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923081-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54690", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":836.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923082-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54692", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1002.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923083-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D EPIDIDYMIS TESTIS &/OR SCR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54700", "description":"I&D EPIDIDYMIS TESTIS &/OR SCR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":277.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923084-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX EPIDIDYMIS NEEDLE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54800", "description":"BX EPIDIDYMIS NEEDLE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":169.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923085-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LOCAL LES EPIDIDYMIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54830", "description":"EXC LOCAL LES EPIDIDYMIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":474.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923086-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC SPERMATOCELE W/WO EPIDIDYM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54840", "description":"EXC SPERMATOCELE W/WO EPIDIDYM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":419.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923087-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EPIDIDYMECTOMY; UNILAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54860", "description":"EPIDIDYMECTOMY; UNILAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":538.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923088-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EPIDIDYMECTOMY; BILAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54861", "description":"EPIDIDYMECTOMY; BILAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":730.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923089-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54865", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":456.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923090-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EPIDIDYMOVASOSTOMY ANASTOM EPI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54900", "description":"EPIDIDYMOVASOSTOMY ANASTOM EPI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":960.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923091-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EPIDIDYMOVASOSTOMY ANASTOM EPI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"54901", "description":"EPIDIDYMOVASOSTOMY ANASTOM EPI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1391.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923092-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PUNCT ASPIRAT HYDROCELE TUNICA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55000", "description":"PUNCT ASPIRAT HYDROCELE TUNICA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":168.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923093-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC HYDROCELE; UNILAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55040", "description":"EXC HYDROCELE; UNILAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":436.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923094-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC HYDROCELE; BILAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55041", "description":"EXC HYDROCELE; BILAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":652.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923095-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR TUNICA VAG HYDROCELE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55060", "description":"REPR TUNICA VAG HYDROCELE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":485.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923096-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE SCROTAL WALL ABSCESS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55100", "description":"DRAINAGE SCROTAL WALL ABSCESS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":296.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923097-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SCROTAL EXPLOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55110", "description":"SCROTAL EXPLOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":494.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923098-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB SCROTUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55120", "description":"REMOV FB SCROTUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":453.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923099-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT SCROTUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55150", "description":"RESECT SCROTUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":623.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923100-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SCROTOPLASTY; SIMPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55175", "description":"SCROTOPLASTY; SIMPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":464.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923101-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SCROTOPLASTY; COMPLIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55180", "description":"SCROTOPLASTY; COMPLIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":887.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923102-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VASOTOMY CANNULIZ W/WO INCS VA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55200", "description":"VASOTOMY CANNULIZ W/WO INCS VA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":727.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923103-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VASECTOMY UNILAT/BILAT (SEP PR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55250", "description":"VASECTOMY UNILAT/BILAT (SEP PR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":644.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923104-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VASOTOMY-VASOGMS/SEMINAL VESIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55300", "description":"VASOTOMY-VASOGMS/SEMINAL VESIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":247.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923105-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VASOVASOSTOMY VASOVASORRHAPHY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55400", "description":"VASOVASOSTOMY VASOVASORRHAPHY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":654.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923106-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC HYDROCELE SPERMATIC CORD U", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55500", "description":"EXC HYDROCELE SPERMATIC CORD U", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":485.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923107-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES SPERMATIC CORD (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55520", "description":"EXC LES SPERMATIC CORD (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":507.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923108-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC VARICOCELE/LIG SPERMATC VE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55530", "description":"EXC VARICOCELE/LIG SPERMATC VE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":457.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923109-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC VARICOCELE/LIG SPERMATIC V", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55535", "description":"EXC VARICOCELE/LIG SPERMATIC V", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":551.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923110-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC VARICOCELE/LIG SPERMATC VE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55540", "description":"EXC VARICOCELE/LIG SPERMATC VE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":613.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923111-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55550", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":545.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923112-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VESICULOTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55600", "description":"VESICULOTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":547.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923113-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VESICULOTOMY; COMPLIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55605", "description":"VESICULOTOMY; COMPLIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":645.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923114-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VESICULECTOMY ANY APPROACH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55650", "description":"VESICULECTOMY ANY APPROACH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":929.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923115-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC MULLERIAN DUCT CYST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55680", "description":"EXC MULLERIAN DUCT CYST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":448.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923116-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX PROSTATE; NEEDLE/PUNCH SNGL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55700", "description":"BX PROSTATE; NEEDLE/PUNCH SNGL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":320.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923117-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX PROSTATE; INCS ANY APPROACH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55705", "description":"BX PROSTATE; INCS ANY APPROACH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":352.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923118-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55706", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923119-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROSTATOMY EXT DRAIN PROSTATIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55720", "description":"PROSTATOMY EXT DRAIN PROSTATIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":606.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923120-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROSTATOMY EXT DRAIN PROSTATIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55725", "description":"PROSTATOMY EXT DRAIN PROSTATIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":753.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923121-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROSTATECTOMY PERINEAL SUBTL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55801", "description":"PROSTATECTOMY PERINEAL SUBTL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1406.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923122-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROSTATECTOMY PERINEAL RADICAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55810", "description":"PROSTATECTOMY PERINEAL RADICAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1708.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923123-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROSTATECTOMY PERINEAL RAD; W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55812", "description":"PROSTATECTOMY PERINEAL RAD; W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2079.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923124-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROSTATECTOMY PERINEAL; W/BILA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55815", "description":"PROSTATECTOMY PERINEAL; W/BILA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2297.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923125-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROSTATECTOMY; SUPRAPUBIC SUBT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55821", "description":"PROSTATECTOMY; SUPRAPUBIC SUBT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1132.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923126-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROSTATECTOMY; RETROPUBIC SUBT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55831", "description":"PROSTATECTOMY; RETROPUBIC SUBT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1227.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923127-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROSTATECTOMY RETROPUBIC RAD W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55840", "description":"PROSTATECTOMY RETROPUBIC RAD W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1740.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923128-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROSTATECTOMY RETROPUBIC RAD;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55842", "description":"PROSTATECTOMY RETROPUBIC RAD;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1864.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923129-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PROSTATECTOMY RETROPUBIC RAD;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55845", "description":"PROSTATECTOMY RETROPUBIC RAD;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2132.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923130-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPOSURE PROSTATE-INSRT RADIOA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55860", "description":"EXPOSURE PROSTATE-INSRT RADIOA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1138.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923131-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPOS PROSTATE-INSRT RADIOACT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55862", "description":"EXPOS PROSTATE-INSRT RADIOACT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1438.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923132-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPOSURE PROSTATE-INSRT RADIOA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55865", "description":"EXPOSURE PROSTATE-INSRT RADIOA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1730.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923133-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAPARO RADICAL PROSTATECTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55866", "description":"LAPARO RADICAL PROSTATECTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2932.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923134-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ELECTROEJACULATION", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55870", "description":"ELECTROEJACULATION", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":226.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923135-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55873", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1494.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923136-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TPRNL PLMT BIODEGRDABL MATR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55874", "description":"TPRNL PLMT BIODEGRDABL MATR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923137-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55875", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":991.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923138-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55876", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":193.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923139-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55880", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923140-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"55920", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":563.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923141-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D VULVA/PERINEAL ABSCESS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56405", "description":"I&D VULVA/PERINEAL ABSCESS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":151.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923142-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D BARTHOLIN'S GLAND ABSCESS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56420", "description":"I&D BARTHOLIN'S GLAND ABSCESS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":184.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923143-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MARSUPIALIZATION BARTHOLIN'S G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56440", "description":"MARSUPIALIZATION BARTHOLIN'S G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":251.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923144-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LYSIS LABIAL ADHESIONS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56441", "description":"LYSIS LABIAL ADHESIONS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":208.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923145-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56442", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":67.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923146-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT LES VULVA; SIMPL ANY M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56501", "description":"DESTRCT LES VULVA; SIMPL ANY M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":181.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923147-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT LES VULVA; EXTEN ANY M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56515", "description":"DESTRCT LES VULVA; EXTEN ANY M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":306.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923148-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX VULVA/PERINEUM (SEPART PROC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56605", "description":"BX VULVA/PERINEUM (SEPART PROC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":117.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923149-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX VULVA/PERINEUM (SEP PRO); E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56606", "description":"BX VULVA/PERINEUM (SEP PRO); E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":55.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923150-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VULVECTOMY SIMPL; PART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56620", "description":"VULVECTOMY SIMPL; PART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":724.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923151-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VULVECTOMY SIMPL; COMPLT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56625", "description":"VULVECTOMY SIMPL; COMPLT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":812.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923152-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VULVECTOMY RADICAL PART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56630", "description":"VULVECTOMY RADICAL PART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1177.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923153-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VULVECTOMY RAD PART; W/UNILAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56631", "description":"VULVECTOMY RAD PART; W/UNILAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1505.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923154-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VULVECT RAD PART; W/BILAT INGU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56632", "description":"VULVECT RAD PART; W/BILAT INGU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1727.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923155-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VULVECTOMY RADICAL COMPLT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56633", "description":"VULVECTOMY RADICAL COMPLT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1535.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923156-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VULVECTOMY RAD COMPLT; W/UNILA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56634", "description":"VULVECTOMY RAD COMPLT; W/UNILA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1627.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923157-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VULVECTOMY RAD COMPLT; W/BILAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56637", "description":"VULVECTOMY RAD COMPLT; W/BILAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1932.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923158-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VULVECTOMY RAD COMPLT W/INGUIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56640", "description":"VULVECTOMY RAD COMPLT W/INGUIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1921.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923159-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART HYMENECTOMY/REVIS HYMENAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56700", "description":"PART HYMENECTOMY/REVIS HYMENAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":255.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923160-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC BARTHOLIN'S GLAND/CYST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56740", "description":"EXC BARTHOLIN'S GLAND/CYST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":406.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923161-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLASTIC REPR INTROITUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56800", "description":"PLASTIC REPR INTROITUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":333.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923162-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLITOROPLASTY INTERSEX STATE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56805", "description":"CLITOROPLASTY INTERSEX STATE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1575.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923163-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERINEOPLASTY REPR PERINEUM NO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56810", "description":"PERINEOPLASTY REPR PERINEUM NO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":358.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923164-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56820", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":153.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923165-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"56821", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":207.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923166-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLPOTOMY; W/EXPLOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57000", "description":"COLPOTOMY; W/EXPLOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":262.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923167-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLPOTOMY; W/DRAINAGE PELVIC A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57010", "description":"COLPOTOMY; W/DRAINAGE PELVIC A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":586.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923168-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLPOCENTESIS (SEPART PROC)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57020", "description":"COLPOCENTESIS (SEPART PROC)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":132.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923169-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57022", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":231.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923170-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CPT4", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57023", "description":"CPT4", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":423.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923171-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT VAG LES; SIMPL ANY MET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57061", "description":"DESTRCT VAG LES; SIMPL ANY MET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":160.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923172-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT VAG LES; EXTEN ANY MET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57065", "description":"DESTRCT VAG LES; EXTEN ANY MET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":268.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923173-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX VAG MUCOS; SIMPL (SEPART PR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57100", "description":"BX VAG MUCOS; SIMPL (SEPART PR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":124.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923174-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX VAG MUCOS; EXTEN REQUIRING", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57105", "description":"BX VAG MUCOS; EXTEN REQUIRING", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":190.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923175-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57106", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":642.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923176-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57107", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1904.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923177-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57109", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2175.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923178-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLPECTOMY OBLIT VAG; COMPLT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57110", "description":"COLPECTOMY OBLIT VAG; COMPLT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1232.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923179-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57111", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2218.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923180-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57112", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2313.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923181-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLPOCLEISIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57120", "description":"COLPOCLEISIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":699.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923182-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC VAG SEPTUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57130", "description":"EXC VAG SEPTUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":251.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923183-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC VAG CYST/TUMOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57135", "description":"EXC VAG CYST/TUMOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":269.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923184-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IRRIGA VAG &/OR APPLIC MEDICAM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57150", "description":"IRRIGA VAG &/OR APPLIC MEDICAM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":77.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923185-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57155", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":590.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923186-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57156", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923187-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FIT/INSRT PESSARY-OTH INTRAVAG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57160", "description":"FIT/INSRT PESSARY-OTH INTRAVAG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":106.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923188-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DIAPHRAGM/CERV CAP FITTING W/I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57170", "description":"DIAPHRAGM/CERV CAP FITTING W/I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":107.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923189-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTRO HEMOSTATIC AGENT VAG HEM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57180", "description":"INTRO HEMOSTATIC AGENT VAG HEM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":201.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923190-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLPORRHAPHY SUTURE INJURY VAG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57200", "description":"COLPORRHAPHY SUTURE INJURY VAG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":404.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923191-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLPOPERINEORRHAPHY SUTURE INJ", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57210", "description":"COLPOPERINEORRHAPHY SUTURE INJ", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":500.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923192-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLASTIC OR URETHRAL SPHINCTER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57220", "description":"PLASTIC OR URETHRAL SPHINCTER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":435.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923193-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PLASTIC REPR URETHROCELE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57230", "description":"PLASTIC REPR URETHROCELE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":537.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923194-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANT COLPORRHAPHY REPR CYSTOCEL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57240", "description":"ANT COLPORRHAPHY REPR CYSTOCEL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":871.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923195-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"POST COLPORRHAPHY REPR RECTOCE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57250", "description":"POST COLPORRHAPHY REPR RECTOCE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":854.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923196-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COMBO ANTEROPOSTERIOR COLPORRH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57260", "description":"COMBO ANTEROPOSTERIOR COLPORRH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1075.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923197-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COMBO ANTEROPOSTERIOR COLPORRH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57265", "description":"COMBO ANTEROPOSTERIOR COLPORRH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1212.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923198-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57267", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":373.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923199-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR ENTEROCELE VAG APPROACH (", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57268", "description":"REPR ENTEROCELE VAG APPROACH (", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":652.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923200-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR ENTEROCELE ABD APPROACH (", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57270", "description":"REPR ENTEROCELE ABD APPROACH (", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1089.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923201-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLPOPEXY ABD APPROACH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57280", "description":"COLPOPEXY ABD APPROACH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1319.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923202-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SACROSPINOUS LIGAMNT FIXA PROL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57282", "description":"SACROSPINOUS LIGAMNT FIXA PROL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":797.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923203-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57283", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1160.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923204-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PARAVAGINAL DEFEC REPR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57284", "description":"PARAVAGINAL DEFEC REPR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1154.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923205-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57285", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":905.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923206-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57287", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":956.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923207-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SLING OR STRESS INCONT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57288", "description":"SLING OR STRESS INCONT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1125.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923208-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PEREYRA PROC INCL ANT COLPORRH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57289", "description":"PEREYRA PROC INCL ANT COLPORRH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1054.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923209-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONSTRUCTION ARTIFICIAL VAG; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57291", "description":"CONSTRUCTION ARTIFICIAL VAG; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":748.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923210-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONSTRUCTION ARTIFICIAL VAG; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57292", "description":"CONSTRUCTION ARTIFICIAL VAG; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1133.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923211-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57295", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":671.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923212-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57296", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1282.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923213-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO RECTOVAG FISTULA; VAG/TRAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57300", "description":"CLO RECTOVAG FISTULA; VAG/TRAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":718.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923214-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO RECTOVAGINAL FISTULA; ABD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57305", "description":"CLO RECTOVAGINAL FISTULA; ABD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1197.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923215-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO RECTOVAG FIST; ABD W/CONCO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57307", "description":"CLO RECTOVAG FIST; ABD W/CONCO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1340.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923216-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57308", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":863.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923217-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO URETHROVAGINAL FISTULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57310", "description":"CLO URETHROVAGINAL FISTULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":656.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923218-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO URETHROVAG FIST; W/BULBOCA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57311", "description":"CLO URETHROVAG FIST; W/BULBOCA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":747.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923219-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO VESICOVAGINAL FISTULA; VAG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57320", "description":"CLO VESICOVAGINAL FISTULA; VAG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":747.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923220-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CLO VESICOVAG FIST; TRANSVESIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57330", "description":"CLO VESICOVAG FIST; TRANSVESIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1075.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923221-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VAGINOPLASTY INTERSEX STATE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57335", "description":"VAGINOPLASTY INTERSEX STATE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1566.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923222-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DILAT VAG UNDER ANES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57400", "description":"DILAT VAG UNDER ANES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":185.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923223-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PELVIC EXAM UNDER ANES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57410", "description":"PELVIC EXAM UNDER ANES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":147.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923224-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV IMPACTED VAG FB (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57415", "description":"REMOV IMPACTED VAG FB (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":216.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923225-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57420", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":162.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923226-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57421", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":219.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923227-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57423", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1249.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923228-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAPAROSCOPY SURG COLPOPEXY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57425", "description":"LAPAROSCOPY SURG COLPOPEXY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1316.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923229-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57426", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923230-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLPOSCOPY; (SEPART PROC)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57452", "description":"COLPOSCOPY; (SEPART PROC)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":152.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923231-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLPOSCOPY; W/BX-CERV &/OR END", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57454", "description":"COLPOSCOPY; W/BX-CERV &/OR END", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":215.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923232-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57455", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":201.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923233-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57456", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":190.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923234-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COLPOSCOPY; W/LOOP ELECTRODE E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57460", "description":"COLPOSCOPY; W/LOOP ELECTRODE E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":439.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923235-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57461", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":488.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923236-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57465", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923237-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX 1/MX LOCAL EXC LES W/WO FUL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57500", "description":"BX 1/MX LOCAL EXC LES W/WO FUL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":193.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923238-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENDOCERVICAL CURET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57505", "description":"ENDOCERVICAL CURET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":142.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923239-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAUT CERV; ELEC/THERMAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57510", "description":"CAUT CERV; ELEC/THERMAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":185.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923240-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAUT CERV; CRYOCAUTERY INIT/RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57511", "description":"CAUT CERV; CRYOCAUTERY INIT/RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":203.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923241-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CAUT CERV; LASER ABLATION", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57513", "description":"CAUT CERV; LASER ABLATION", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":199.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923242-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONIZATION CERV W/WO D&C W/WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57520", "description":"CONIZATION CERV W/WO D&C W/WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":431.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923243-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CONIZATN CERV W/WO D&C W/WO RE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57522", "description":"CONIZATN CERV W/WO D&C W/WO RE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":367.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923244-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRACHELECTOMY AMPUTA CERV (SEP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57530", "description":"TRACHELECTOMY AMPUTA CERV (SEP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":470.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923245-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57531", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2330.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923246-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC CERV STUMP ABD APPROACH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57540", "description":"EXC CERV STUMP ABD APPROACH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1061.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923247-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC CERV STUMP ABD APPROACH; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57545", "description":"EXC CERV STUMP ABD APPROACH; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1124.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923248-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC CERV STUMP VAG APPROACH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57550", "description":"EXC CERV STUMP VAG APPROACH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":553.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923249-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC CERV STUMP VAG; W/ANT &/OR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57555", "description":"EXC CERV STUMP VAG; W/ANT &/OR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":822.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923250-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC CERV STUMP VAG APPROACH; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57556", "description":"EXC CERV STUMP VAG APPROACH; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":775.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923251-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57558", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":173.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923252-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CERCLAGE UTERINE CERV NON-OB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57700", "description":"CERCLAGE UTERINE CERV NON-OB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":410.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923253-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRACHELORRHAPHY PLASTIC REPR C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57720", "description":"TRACHELORRHAPHY PLASTIC REPR C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":419.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923254-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DILAT CERV CANAL INSTRUM (SEPA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"57800", "description":"DILAT CERV CANAL INSTRUM (SEPA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":84.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923255-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENDOMETRIAL BX W/WO ENDOCERV B", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58100", "description":"ENDOMETRIAL BX W/WO ENDOCERV B", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":155.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923256-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58110", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":69.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923257-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DILAT & CURET DX &/OR THERAP (", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58120", "description":"DILAT & CURET DX &/OR THERAP (", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":336.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923258-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MYOMECTOMY SNG/MX (SEPART PROC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58140", "description":"MYOMECTOMY SNG/MX (SEPART PROC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1246.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923259-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MYOMECTOMY SNGL/MX (SEPART PRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58145", "description":"MYOMECTOMY SNGL/MX (SEPART PRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":742.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923260-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58146", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1586.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923261-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TOT ABD HYST W/WO REMOV TUBE(S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58150", "description":"TOT ABD HYST W/WO REMOV TUBE(S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1347.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923262-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TOT ABD HYST; W/COLPO-URETHROC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58152", "description":"TOT ABD HYST; W/COLPO-URETHROC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1712.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923263-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUPRACERV ABD HYST W/WO REMOV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58180", "description":"SUPRACERV ABD HYST W/WO REMOV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1296.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923264-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TAH INCL PART VAGINECT W/LYMPH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58200", "description":"TAH INCL PART VAGINECT W/LYMPH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1786.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923265-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RAD ABD HYST W/BILAT TOT PELVI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58210", "description":"RAD ABD HYST W/BILAT TOT PELVI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2378.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923266-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PELVIC EXENTERATION FOR GYN MA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58240", "description":"PELVIC EXENTERATION FOR GYN MA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3669.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923267-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VAG HYST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58260", "description":"VAG HYST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1129.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923268-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VAG HYST; W/REMOV TUBE(S) &/OR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58262", "description":"VAG HYST; W/REMOV TUBE(S) &/OR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1262.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923269-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VAG HYST; W/REMOV TUBE/OVARY W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58263", "description":"VAG HYST; W/REMOV TUBE/OVARY W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1359.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923270-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VAG HYST; W/COLPO-URETHROCYSTO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58267", "description":"VAG HYST; W/COLPO-URETHROCYSTO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1444.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923271-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VAG HYST; W/REPR ENTEROCELE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58270", "description":"VAG HYST; W/REPR ENTEROCELE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1210.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923272-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VAG HYST W/TOT/PART COLPECTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58275", "description":"VAG HYST W/TOT/PART COLPECTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1343.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923273-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VAG HYST W/TOT/PART COLPECTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58280", "description":"VAG HYST W/TOT/PART COLPECTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1439.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923274-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VAG HYST RADICAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58285", "description":"VAG HYST RADICAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1800.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923275-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58290", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1584.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923276-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58291", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1719.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923277-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58292", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1816.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923278-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58293", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1888.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923279-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58294", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1671.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923280-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT INTRAUTERINE DEVICE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58300", "description":"INSRT INTRAUTERINE DEVICE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":113.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923281-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV INTRAUTERINE DEVICE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58301", "description":"REMOV INTRAUTERINE DEVICE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":137.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923282-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTIFICIAL INSEMINATION; INTRA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58321", "description":"ARTIFICIAL INSEMINATION; INTRA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":109.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923283-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ARTIFICIAL INSEMINATION; INTRA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58322", "description":"ARTIFICIAL INSEMINATION; INTRA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":124.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923284-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SPERM WASHING-ARTIFICIAL INSEM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58323", "description":"SPERM WASHING-ARTIFICIAL INSEM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":32.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923285-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58340", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":196.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923286-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSCERV INTRO FALLOPIAN TUBE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58345", "description":"TRANSCERV INTRO FALLOPIAN TUBE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":382.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923287-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58346", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":620.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923288-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHROMOTUBATION OVIDUCT INCL MA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58350", "description":"CHROMOTUBATION OVIDUCT INCL MA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":137.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923289-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENDOMETRIAL ABLATION,THERM.W/O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58353", "description":"ENDOMETRIAL ABLATION,THERM.W/O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1820.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923290-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58356", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3262.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923291-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UTERINE SUSPEN W/WO SHORTEN LI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58400", "description":"UTERINE SUSPEN W/WO SHORTEN LI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":609.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923292-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UTERINE SUSPEN; W/PRESACRAL SY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58410", "description":"UTERINE SUSPEN; W/PRESACRAL SY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1094.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923293-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HYSTERORRHAPHY REPR RUPT UTERU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58520", "description":"HYSTERORRHAPHY REPR RUPT UTERU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1065.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923294-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HYSTEROPLASTY REPR UTERINE ANO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58540", "description":"HYSTEROPLASTY REPR UTERINE ANO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1236.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923295-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58541", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1155.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923296-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58542", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1280.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923297-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58543", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1302.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923298-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58544", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1407.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923299-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58545", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1227.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923300-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58546", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1554.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923301-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58548", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2447.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923302-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58550", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1209.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923303-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58552", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1336.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923304-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58553", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1560.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923305-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58554", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1789.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923306-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58555", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":324.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923307-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58558", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":426.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923308-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58559", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":478.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923309-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58560", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":543.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923310-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58561", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":766.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923311-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58562", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":455.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923312-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HYSTEROSCOPY W/ENDOMETRIAL ABL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58563", "description":"HYSTEROSCOPY W/ENDOMETRIAL ABL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2933.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923313-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58565", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2945.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923314-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58570", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1240.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923315-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58571", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1360.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923316-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58572", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1539.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923317-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58573", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1740.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923318-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58575", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923319-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG/TRANSECTION FALLOPIAN TUBE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58600", "description":"LIG/TRANSECTION FALLOPIAN TUBE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":501.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923320-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG/TRANSECT FALLOPIAN TUBE-SA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58605", "description":"LIG/TRANSECT FALLOPIAN TUBE-SA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":454.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923321-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LIG/TRANSECT FALLOPIAN TUBE-W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58611", "description":"LIG/TRANSECT FALLOPIAN TUBE-W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":108.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923322-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OCCLUD FALLOPIAN TUBE-DEVICE V", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58615", "description":"OCCLUD FALLOPIAN TUBE-DEVICE V", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":350.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923323-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58660", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":919.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923324-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58661", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":886.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923325-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAPAROSCOPY, SURG W/FULG/EXC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58662", "description":"LAPAROSCOPY, SURG W/FULG/EXC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":969.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923326-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58670", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":500.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923327-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58671", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":501.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923328-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58672", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1029.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923329-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58673", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1110.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923330-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58674", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923331-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SALPINGECTOMY COMPLT/PART UNI/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58700", "description":"SALPINGECTOMY COMPLT/PART UNI/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1038.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923332-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SALPINGO-OOPHORECTOMY COMPLT/P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58720", "description":"SALPINGO-OOPHORECTOMY COMPLT/P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":977.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923333-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LYSIS ADHESIONS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58740", "description":"LYSIS ADHESIONS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1193.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923334-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TUBOTUBAL ANASTOM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58750", "description":"TUBOTUBAL ANASTOM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1244.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923335-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TUBOUTERINE IMPLNT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58752", "description":"TUBOUTERINE IMPLNT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1230.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923336-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FIMBRIOPLASTY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58760", "description":"FIMBRIOPLASTY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1124.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923337-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SALPINGOSTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58770", "description":"SALPINGOSTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1175.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923338-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAIN OVARIAN CYST UNI/BILAT (", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58800", "description":"DRAIN OVARIAN CYST UNI/BILAT (", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":441.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923339-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAIN OVARIAN CYST UNI/BILAT (", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58805", "description":"DRAIN OVARIAN CYST UNI/BILAT (", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":547.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923340-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE OVARIAN ABSCESS; VAG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58820", "description":"DRAINAGE OVARIAN ABSCESS; VAG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":430.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923341-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DRAINAGE OVARIAN ABSCESS; ABD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58822", "description":"DRAINAGE OVARIAN ABSCESS; ABD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":936.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923342-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSPOSITION OVARY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58825", "description":"TRANSPOSITION OVARY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":949.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923343-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX OVARY UNILAT/BILAT (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58900", "description":"BX OVARY UNILAT/BILAT (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":559.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923344-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"WEDGE RESECT/BISECTION OVARY U", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58920", "description":"WEDGE RESECT/BISECTION OVARY U", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":961.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923345-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OVARIAN CYSTECTOMY UNILAT/BILA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58925", "description":"OVARIAN CYSTECTOMY UNILAT/BILA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":993.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923346-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OOPHORECTOMY PART/TOT UNILAT/B", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58940", "description":"OOPHORECTOMY PART/TOT UNILAT/B", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":679.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923347-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OOPHORECTOMY; OVARIAN MALIG W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58943", "description":"OOPHORECTOMY; OVARIAN MALIG W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1524.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923348-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT OVARIAN MALIG W/BILAT S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58950", "description":"RESECT OVARIAN MALIG W/BILAT S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1452.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923349-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT OVARIAN MALIG; W/TAH LT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58951", "description":"RESECT OVARIAN MALIG; W/TAH LT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1875.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923350-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT OVARIAN MALIG; W/RADICA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58952", "description":"RESECT OVARIAN MALIG; W/RADICA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2114.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923351-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58953", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2623.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923352-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58954", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2849.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923353-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58956", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1842.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923354-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58957", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1987.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923355-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58958", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2198.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923356-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAPAROTOMY STAGING/RESTAGING O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58960", "description":"LAPAROTOMY STAGING/RESTAGING O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1255.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923357-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FOLLICLE PUNCT OOCYTE RETRIEVA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58970", "description":"FOLLICLE PUNCT OOCYTE RETRIEVA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":313.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923358-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GAMETE/ZYGOTE/EMBRYO INTRAFALL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"58976", "description":"GAMETE/ZYGOTE/EMBRYO INTRAFALL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":343.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923359-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AMNIOCENTESIS ANY METHD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59000", "description":"AMNIOCENTESIS ANY METHD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":184.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923360-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59001", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":249.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923361-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORDOCENTESIS ANY METHD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59012", "description":"CORDOCENTESIS ANY METHD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":282.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923362-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CHORIONIC VILLUS SAMPL ANY MET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59015", "description":"CHORIONIC VILLUS SAMPL ANY MET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":215.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923363-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FETAL CONTRACTION STRESS TEST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59020", "description":"FETAL CONTRACTION STRESS TEST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":95.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923364-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FETAL CONTRACTION STRESS TEST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59020", "description":"FETAL CONTRACTION STRESS TEST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":53.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73923365-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FETAL CONTRACTION STRESS TEST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59020", "description":"FETAL CONTRACTION STRESS TEST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":42.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73923366-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59025", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":63.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923367-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59025", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":42.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73923368-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59025", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":21.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73923369-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FETAL SCLP BLD SAMPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59030", "description":"FETAL SCLP BLD SAMPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":153.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923370-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FETAL MONITOR-CONS MD-(SEP PRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59050", "description":"FETAL MONITOR-CONS MD-(SEP PRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":71.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923371-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FETAL MONITOR-CONS MD-(SEP PRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59051", "description":"FETAL MONITOR-CONS MD-(SEP PRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":59.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923372-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59070", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":546.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923373-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59072", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":624.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923374-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59074", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":508.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923375-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59076", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":624.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923376-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HYSTEROTOMY ABD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59100", "description":"HYSTEROTOMY ABD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1126.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923377-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG TX ECTOPIC PG; REQ SALPIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59120", "description":"SURG TX ECTOPIC PG; REQ SALPIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1072.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923378-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG TX ECTOPIC PG; WO SALPING", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59121", "description":"SURG TX ECTOPIC PG; WO SALPING", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1079.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923379-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG TX ECTOPIC PG; ABD PG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59130", "description":"SURG TX ECTOPIC PG; ABD PG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1217.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923380-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG TX ECTOPIC PG; UTERINE PG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59135", "description":"SURG TX ECTOPIC PG; UTERINE PG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1229.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923381-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG TX ECTOPIC PG; UTERINE PG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59136", "description":"SURG TX ECTOPIC PG; UTERINE PG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1166.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923382-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG TX ECTOPIC PG; CERV W/EVA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59140", "description":"SURG TX ECTOPIC PG; CERV W/EVA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":503.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923383-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAP TX ECTOPIC PG; WO SALPINGE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59150", "description":"LAP TX ECTOPIC PG; WO SALPINGE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1042.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923384-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAP TX ECTOPIC PG; W/SALPINGEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59151", "description":"LAP TX ECTOPIC PG; W/SALPINGEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1024.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923385-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CURET PP (SEPART PROC)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59160", "description":"CURET PP (SEPART PROC)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":310.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923386-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT CERV DILAT (SEPART PROC)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59200", "description":"INSRT CERV DILAT (SEPART PROC)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":107.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923387-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EPISIOTOMY/VAG REPR-BY OTHER T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59300", "description":"EPISIOTOMY/VAG REPR-BY OTHER T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":266.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923388-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CERCLAGE CERV DURING PG; VAG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59320", "description":"CERCLAGE CERV DURING PG; VAG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":211.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923389-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CERCLAGE CERV DURING PG; ABD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59325", "description":"CERCLAGE CERV DURING PG; ABD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":335.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923390-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HYSTERORRHAPHY RUPT UTERUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59350", "description":"HYSTERORRHAPHY RUPT UTERUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":383.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923391-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ROUTINE OB CARE INCL ANTEPARTU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59400", "description":"ROUTINE OB CARE INCL ANTEPARTU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2402.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923392-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VAG DELIV ONLY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59409", "description":"VAG DELIV ONLY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1065.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923393-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VAG DELIV ONLY; INCL PP CARE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59410", "description":"VAG DELIV ONLY; INCL PP CARE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1230.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923394-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXT CEPHALIC VERSION W/WO TOCO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59412", "description":"EXT CEPHALIC VERSION W/WO TOCO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":143.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923395-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DELIV PLACENTA (SEPART PROC)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59414", "description":"DELIV PLACENTA (SEPART PROC)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":127.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923396-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANTEPARTUM CARE ONLY; 4-6 VISI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59425", "description":"ANTEPARTUM CARE ONLY; 4-6 VISI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":597.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923397-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANTEPARTUM CARE ONLY; 7/MORE V", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59426", "description":"ANTEPARTUM CARE ONLY; 7/MORE V", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1068.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923398-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PP CARE ONLY (SEPART PROC)", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59430", "description":"PP CARE ONLY (SEPART PROC)", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":193.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923399-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ROUTINE OB CARE INCL ANTEPARTU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59510", "description":"ROUTINE OB CARE INCL ANTEPARTU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2719.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923400-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"C DELIV ONLY;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59514", "description":"C DELIV ONLY;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1259.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923401-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"C DELIV ONLY; INCL PP CARE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59515", "description":"C DELIV ONLY; INCL PP CARE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1482.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923402-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUBTL/TOT HYST AFTER CESAREAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59525", "description":"SUBTL/TOT HYST AFTER CESAREAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":666.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923403-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ROUT OB CARE ANTEPAR-VAG DELIV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59610", "description":"ROUT OB CARE ANTEPAR-VAG DELIV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2527.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923404-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VAG DELIV ONLY AFTER PREV C DE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59612", "description":"VAG DELIV ONLY AFTER PREV C DE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1193.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923405-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VAG DELIV ONLY AFTER PREV C DE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59614", "description":"VAG DELIV ONLY AFTER PREV C DE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1334.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923406-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ROUT OB CARE-C DELIV AFT VAG T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59618", "description":"ROUT OB CARE-C DELIV AFT VAG T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2844.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923407-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"C DELIV ONLY AFT VAG TRY-PREV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59620", "description":"C DELIV ONLY AFT VAG TRY-PREV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1374.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923408-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"C DELIV ONLY AFT VAG TRY-PREV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59622", "description":"C DELIV ONLY AFT VAG TRY-PREV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1608.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923409-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TX INCOMPL AB ANY TRIMESTER CO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59812", "description":"TX INCOMPL AB ANY TRIMESTER CO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":418.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923410-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TX MISSED AB COMPLT SURGICALLY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59820", "description":"TX MISSED AB COMPLT SURGICALLY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":512.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923411-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TX MISSED AB COMPLT SURG; 2ND", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59821", "description":"TX MISSED AB COMPLT SURG; 2ND", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":522.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923412-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TX SEPTIC AB COMPLT SURGICALLY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59830", "description":"TX SEPTIC AB COMPLT SURGICALLY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":594.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923413-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INDUCED AB BY DILAT & CURET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59840", "description":"INDUCED AB BY DILAT & CURET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":296.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923414-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INDUCED AB BY DILAT & EVACUATI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59841", "description":"INDUCED AB BY DILAT & EVACUATI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":516.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923415-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INDUCED AB BY INTRA-AMNIOTIC I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59850", "description":"INDUCED AB BY INTRA-AMNIOTIC I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":511.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923416-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INDUCED AB BY INTRA-AMNIOTIC I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59851", "description":"INDUCED AB BY INTRA-AMNIOTIC I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":547.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923417-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INDUCED AB BY INTRA-AMNIOTIC I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59852", "description":"INDUCED AB BY INTRA-AMNIOTIC I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":737.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923418-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INDUCED AB BY VAG SUPPOS W/WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59855", "description":"INDUCED AB BY VAG SUPPOS W/WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":567.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923419-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INDUCED AB-VAG SUPPOS W/WO CER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59856", "description":"INDUCED AB-VAG SUPPOS W/WO CER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":671.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923420-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INDUCED AB-VAG SUPPOS W/WO CER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59857", "description":"INDUCED AB-VAG SUPPOS W/WO CER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":786.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923421-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MULTIFETAL PG REDUCTION(S) (MP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59866", "description":"MULTIFETAL PG REDUCTION(S) (MP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":329.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923422-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"UTERINE EVACUATION & CURET HYD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59870", "description":"UTERINE EVACUATION & CURET HYD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":628.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923423-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"59871", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":185.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923424-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"I&D THYROGLOSSAL CYST INFEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60000", "description":"I&D THYROGLOSSAL CYST INFEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":188.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923425-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"6005F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923426-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX THYROID PERCUT CORE NEEDLE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60100", "description":"BX THYROID PERCUT CORE NEEDLE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":143.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923427-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"6010F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923428-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"6015F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923429-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC CYST/ADENOMA THYROID/TRANS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60200", "description":"EXC CYST/ADENOMA THYROID/TRANS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":781.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923430-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"6020F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923431-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART THYROID LOBEC UNILAT; W/W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60210", "description":"PART THYROID LOBEC UNILAT; W/W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":830.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923432-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PART THYROID LOBEC UNILAT; W/C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60212", "description":"PART THYROID LOBEC UNILAT; W/C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1189.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923433-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TOT THYROID LOBEC UNILAT; W/WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60220", "description":"TOT THYROID LOBEC UNILAT; W/WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":911.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923434-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TOT THYROID LOBEC UNILAT; W/CO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60225", "description":"TOT THYROID LOBEC UNILAT; W/CO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1095.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923435-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THYROIDECTOMY TOT/COMPLT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60240", "description":"THYROIDECTOMY TOT/COMPLT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1164.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923436-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THYROIDECTOMY TOT/SUBTL-MALIG;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60252", "description":"THYROIDECTOMY TOT/SUBTL-MALIG;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1567.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923437-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THYROIDECTOMY TOT/SUBTL-MALIG;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60254", "description":"THYROIDECTOMY TOT/SUBTL-MALIG;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2036.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923438-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THYROIDECTOMY-REMOV REMAIN TIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60260", "description":"THYROIDECTOMY-REMOV REMAIN TIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1311.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923439-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THYROIDECTOMY INCL SUBSTERNL G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60270", "description":"THYROIDECTOMY INCL SUBSTERNL G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1645.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923440-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THYROIDECTOMY INCL SUBSTERNL G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60271", "description":"THYROIDECTOMY INCL SUBSTERNL G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1267.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923441-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC THYROGLOSSAL DUCT CYST/SIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60280", "description":"EXC THYROGLOSSAL DUCT CYST/SIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":527.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923442-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC THYROGLOSSAL DUCT CYST/SIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60281", "description":"EXC THYROGLOSSAL DUCT CYST/SIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":708.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923443-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60300", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":131.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923444-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"6030F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923445-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"6040F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923446-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"6045F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923447-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PARATHYROIDECTOMY/EXPLOR PARAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60500", "description":"PARATHYROIDECTOMY/EXPLOR PARAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1199.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923448-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PARATHYROIDECTOMY/EXPLOR PARAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60502", "description":"PARATHYROIDECTOMY/EXPLOR PARAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1510.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923449-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PARATHYROIDECTOMY; W/MEDIASTIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60505", "description":"PARATHYROIDECTOMY; W/MEDIASTIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1660.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923450-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PARATHYROID AUTOTRANSPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60512", "description":"PARATHYROID AUTOTRANSPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":295.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923451-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THYMECTOMY PART/TOT; TRANSCERV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60520", "description":"THYMECTOMY PART/TOT; TRANSCERV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1248.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923452-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THYMECTOMY PART/TOT; STERN SPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60521", "description":"THYMECTOMY PART/TOT; STERN SPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1423.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923453-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"THYMECTOMY; W/RADICAL MEDIASTI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60522", "description":"THYMECTOMY; W/RADICAL MEDIASTI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1717.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923454-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADRENALECTOMY/EXPLOR ADRENAL G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60540", "description":"ADRENALECTOMY/EXPLOR ADRENAL G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1286.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923455-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ADRENALECTOMY (SEP PRO); W/EXC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60545", "description":"ADRENALECTOMY (SEP PRO); W/EXC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1474.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923456-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC CAROTID BODY TUMOR; WO EXC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60600", "description":"EXC CAROTID BODY TUMOR; WO EXC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1730.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923457-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC CAROTID BODY TUMOR; W/EXC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60605", "description":"EXC CAROTID BODY TUMOR; W/EXC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2175.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923458-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"60650", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1966.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923459-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"6070F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923460-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"6080F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923461-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"6090F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923462-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUBDURAL TAP-FONTANELLE INFANT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61000", "description":"SUBDURAL TAP-FONTANELLE INFANT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":147.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923463-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUBDURAL TAP-FONTANELLE INFANT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61001", "description":"SUBDURAL TAP-FONTANELLE INFANT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":142.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923464-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"6100F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923465-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"6101F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923466-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENTRICULAR PUNCT-PREV BURR HO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61020", "description":"VENTRICULAR PUNCT-PREV BURR HO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":172.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923467-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENTRICULAR PUNCT-THRU SUTURE;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61026", "description":"VENTRICULAR PUNCT-THRU SUTURE;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":174.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923468-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"6102F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923469-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CISTERNAL/LAT CERV PUNCT; WO I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61050", "description":"CISTERNAL/LAT CERV PUNCT; WO I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":149.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923470-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CISTERNAL PUNCT; W/INJ DRUG/OT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61055", "description":"CISTERNAL PUNCT; W/INJ DRUG/OT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":191.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923471-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PUNCT SHUNT TUBING/RESERVOIR-A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61070", "description":"PUNCT SHUNT TUBING/RESERVOIR-A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":112.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923472-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TWIST DRILL HOLE; NOT FOLLOWED", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61105", "description":"TWIST DRILL HOLE; NOT FOLLOWED", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":573.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923473-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TWIST DRILL HOLE; INPLNT VENT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61107", "description":"TWIST DRILL HOLE; INPLNT VENT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":425.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923474-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TWIST DRILL HOLE; EVACUAT &/OR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61108", "description":"TWIST DRILL HOLE; EVACUAT &/OR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1122.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923475-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"6110F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923476-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BURR HOLE-VENT PUNCT; NOT FOLL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61120", "description":"BURR HOLE-VENT PUNCT; NOT FOLL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":923.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923477-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BURR HOLE/TREPHINE; W/BX-BRAIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61140", "description":"BURR HOLE/TREPHINE; W/BX-BRAIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1598.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923478-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BURR HOLE/TREPHINE; W/DRAIN BR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61150", "description":"BURR HOLE/TREPHINE; W/DRAIN BR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1714.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923479-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BURR HOLE; W/SUBSQT TAPPING IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61151", "description":"BURR HOLE; W/SUBSQT TAPPING IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1254.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923480-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BURR HOLE W/EVACUATION &/OR DR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61154", "description":"BURR HOLE W/EVACUATION &/OR DR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1591.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923481-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BURR HOLE; W/ASPIRAT HEMATOMA/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61156", "description":"BURR HOLE; W/ASPIRAT HEMATOMA/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1594.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923482-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BURR HOLE; IMPLNT VENTRICULAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61210", "description":"BURR HOLE; IMPLNT VENTRICULAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":496.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923483-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT SUBQ RESERVOIR/PUMP-CONN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61215", "description":"INSRT SUBQ RESERVOIR/PUMP-CONN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":606.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923484-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BURR HOLE/TREPHINE-SUPRATENTOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61250", "description":"BURR HOLE/TREPHINE-SUPRATENTOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1086.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923485-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BURR HOLE/TREPHINE-INFRATENTOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61253", "description":"BURR HOLE/TREPHINE-INFRATENTOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1211.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923486-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY/CRANIOTOMY EXPLOR;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61304", "description":"CRANIECTOMY/CRANIOTOMY EXPLOR;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2115.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923487-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY/CRANIOTOMY EXPLOR;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61305", "description":"CRANIECTOMY/CRANIOTOMY EXPLOR;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2536.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923488-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY-HEMATOMA-SUPRATENT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61312", "description":"CRANIECTOMY-HEMATOMA-SUPRATENT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2627.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923489-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY-HEMATOMA-SUPRATENT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61313", "description":"CRANIECTOMY-HEMATOMA-SUPRATENT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2516.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923490-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY-HEMATOMA-INFRATENT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61314", "description":"CRANIECTOMY-HEMATOMA-INFRATENT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2315.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923491-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY-HEMATOMA-INFRATENT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61315", "description":"CRANIECTOMY-HEMATOMA-INFRATENT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2662.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923492-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61316", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":115.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923493-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY DRAIN INTRACRAN AB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61320", "description":"CRANIECTOMY DRAIN INTRACRAN AB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2458.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923494-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY DRAIN INTRACRAN AB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61321", "description":"CRANIECTOMY DRAIN INTRACRAN AB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2724.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923495-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61322", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2959.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923496-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61323", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3025.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923497-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECOMP ORBIT ONLY TRANSCRANIAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61330", "description":"DECOMP ORBIT ONLY TRANSCRANIAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2087.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923498-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXPLOR ORBIT; W/REMOV LES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61333", "description":"EXPLOR ORBIT; W/REMOV LES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2442.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923499-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OTHER CRANIAL DECOMP SUPRATENT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61340", "description":"OTHER CRANIAL DECOMP SUPRATENT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1843.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923500-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY-SUBOCCIPIT W/LAMIN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61343", "description":"CRANIECTOMY-SUBOCCIPIT W/LAMIN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2826.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923501-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OTHER CRANIAL DECOMP POST FOSS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61345", "description":"OTHER CRANIAL DECOMP POST FOSS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2601.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923502-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY-SUBTEMPORAL-SECT G", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61450", "description":"CRANIECTOMY-SUBTEMPORAL-SECT G", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2425.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923503-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY SUBOCCIPITAL; EXPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61458", "description":"CRANIECTOMY SUBOCCIPITAL; EXPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2583.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923504-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY SUBOCCIPIT; SECT-1", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61460", "description":"CRANIECTOMY SUBOCCIPIT; SECT-1", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2637.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923505-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY; W/EXC TUMOR/OTHER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61500", "description":"CRANIECTOMY; W/EXC TUMOR/OTHER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1731.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923506-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY; OSTEOMYELITIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61501", "description":"CRANIECTOMY; OSTEOMYELITIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1473.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923507-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"6150F", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923508-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY; EXC BRAIN TUMOR-S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61510", "description":"CRANIECTOMY; EXC BRAIN TUMOR-S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2784.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923509-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY; EXC MENINGOMA-SUP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61512", "description":"CRANIECTOMY; EXC MENINGOMA-SUP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3301.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923510-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY; EXC BRAIN ABSCESS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61514", "description":"CRANIECTOMY; EXC BRAIN ABSCESS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2439.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923511-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY; EXC/FENESTRATION", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61516", "description":"CRANIECTOMY; EXC/FENESTRATION", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2384.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923512-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61517", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":116.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923513-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY-EXC TUMOR-POST FOS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61518", "description":"CRANIECTOMY-EXC TUMOR-POST FOS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3552.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923514-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY-EXC TUMOR-POST FOS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61519", "description":"CRANIECTOMY-EXC TUMOR-POST FOS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3826.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923515-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY-POST FOSSA; CEREBE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61520", "description":"CRANIECTOMY-POST FOSSA; CEREBE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4912.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923516-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY-EXC TUMOR; MIDLINE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61521", "description":"CRANIECTOMY-EXC TUMOR; MIDLINE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4123.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923517-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY INFRATENTORIAL; EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61522", "description":"CRANIECTOMY INFRATENTORIAL; EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2794.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923518-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY INFRATENTORIAL; EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61524", "description":"CRANIECTOMY INFRATENTORIAL; EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2670.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923519-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY-TRANSTEMPORAL-EXC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61526", "description":"CRANIECTOMY-TRANSTEMPORAL-EXC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4489.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923520-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY; COMBO W/POST FOSS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61530", "description":"CRANIECTOMY; COMBO W/POST FOSS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3810.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923521-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUBDURAL IMPLNT STRIP ELECTROD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61531", "description":"SUBDURAL IMPLNT STRIP ELECTROD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1523.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923522-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOTOMY W/ELEVAT FLAP; IMPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61533", "description":"CRANIOTOMY W/ELEVAT FLAP; IMPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1937.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923523-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOTOMY W/ELEV FLAP; EXC EP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61534", "description":"CRANIOTOMY W/ELEV FLAP; EXC EP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2081.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923524-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOTOMY W/FLAP; REMOV ELECT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61535", "description":"CRANIOTOMY W/FLAP; REMOV ELECT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1235.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923525-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOTOMY W/FLAP; EXC CEREBRA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61536", "description":"CRANIOTOMY W/FLAP; EXC CEREBRA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3342.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923526-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61537", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3014.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923527-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOTOMY W/FLAP; LOBECTOMY T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61538", "description":"CRANIOTOMY W/FLAP; LOBECTOMY T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3222.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923528-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOTOMY W/FLAP; LOBECTOMY-N", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61539", "description":"CRANIOTOMY W/FLAP; LOBECTOMY-N", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3028.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923529-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61540", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2851.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923530-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOTOMY W/FLAP; TRANSECTION", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61541", "description":"CRANIOTOMY W/FLAP; TRANSECTION", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2730.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923531-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOTOMY W/FLAP; PART/SUBTL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61543", "description":"CRANIOTOMY W/FLAP; PART/SUBTL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2726.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923532-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOTOMY W/FLAP; COAGULATION", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61544", "description":"CRANIOTOMY W/FLAP; COAGULATION", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2407.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923533-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOTOMY W/FLAP; EXC CRANIOP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61545", "description":"CRANIOTOMY W/FLAP; EXC CRANIOP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4083.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923534-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOTOMY-HYPOPHYSECTOMY-INTR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61546", "description":"CRANIOTOMY-HYPOPHYSECTOMY-INTR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2951.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923535-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"HYPOPHYSECTOMY-TRANSNASAL NONS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61548", "description":"HYPOPHYSECTOMY-TRANSNASAL NONS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2005.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923536-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY-CRANIOSYNOSTOSIS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61550", "description":"CRANIECTOMY-CRANIOSYNOSTOSIS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1185.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923537-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY-CRANIOSYNOSTOSIS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61552", "description":"CRANIECTOMY-CRANIOSYNOSTOSIS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1678.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923538-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOTOMY-CRANIOSYNOSTOSIS; F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61556", "description":"CRANIOTOMY-CRANIOSYNOSTOSIS; F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2094.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923539-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOTOMY CRANIOSYNOSTOSIS; B", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61557", "description":"CRANIOTOMY CRANIOSYNOSTOSIS; B", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2164.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923540-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTEN CRANIECTOMY-CRANIOSYNOST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61558", "description":"EXTEN CRANIECTOMY-CRANIOSYNOST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2215.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923541-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTEN CRANIECTOMY; RECONTOUR W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61559", "description":"EXTEN CRANIECTOMY; RECONTOUR W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3103.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923542-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC INTRA & EXTRACRAN BEN TUMO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61563", "description":"EXC INTRA & EXTRACRAN BEN TUMO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2441.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923543-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC INTRA & EXTRACRAN BEN TUMO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61564", "description":"EXC INTRA & EXTRACRAN BEN TUMO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3112.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923544-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61566", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2879.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923545-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61567", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3246.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923546-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY/CRANIOTOMY; W/EXC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61570", "description":"CRANIECTOMY/CRANIOTOMY; W/EXC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2353.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923547-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECT/CRANIOT; W/TX PENETRA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61571", "description":"CRANIECT/CRANIOT; W/TX PENETRA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2536.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923548-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSORAL APPROACH SKULL BASE-", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61575", "description":"TRANSORAL APPROACH SKULL BASE-", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3070.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923549-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSORAL APPROACH SKULL BASE;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61576", "description":"TRANSORAL APPROACH SKULL BASE;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4797.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923550-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOFAC-ANT CRAN FOSSA; XTRD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61580", "description":"CRANIOFAC-ANT CRAN FOSSA; XTRD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3242.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923551-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOFAC-ANT CRAN FOSSA; XTRD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61581", "description":"CRANIOFAC-ANT CRAN FOSSA; XTRD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3577.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923552-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOFAC APPROACH; EXTRDURL E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61582", "description":"CRANIOFAC APPROACH; EXTRDURL E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3671.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923553-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOFAC APPROACH; EXTRDURL R", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61583", "description":"CRANIOFAC APPROACH; EXTRDURL R", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3736.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923554-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ORBITOCRANIAL APPROACH; WO ORB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61584", "description":"ORBITOCRANIAL APPROACH; WO ORB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3645.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923555-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ORBITOCRANIAL APPROACH; W/ORBI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61585", "description":"ORBITOCRANIAL APPROACH; W/ORBI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3884.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923556-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BICORONAL/TRANSZYGO/LEFORT APP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61586", "description":"BICORONAL/TRANSZYGO/LEFORT APP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2824.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923557-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INFRATEMP APPROACH-MID FOSSA I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61590", "description":"INFRATEMP APPROACH-MID FOSSA I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4100.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923558-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INFRATEMP APPROACH-MID FOSSA I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61591", "description":"INFRATEMP APPROACH-MID FOSSA I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4132.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923559-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ORBITOCRAN ZYGOMATIC APPROACH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61592", "description":"ORBITOCRAN ZYGOMATIC APPROACH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4067.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923560-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSTEMP APPROACH-POST FOSSA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61595", "description":"TRANSTEMP APPROACH-POST FOSSA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3088.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923561-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSCOCHLEAR APPROACH INCL LA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61596", "description":"TRANSCOCHLEAR APPROACH INCL LA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3417.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923562-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSCONDYL APPROACH INCL RESE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61597", "description":"TRANSCONDYL APPROACH INCL RESE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3711.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923563-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSPETROSAL APPROACH INCL LI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61598", "description":"TRANSPETROSAL APPROACH INCL LI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3350.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923564-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT/EXC LES BASE ANT CRAN F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61600", "description":"RESECT/EXC LES BASE ANT CRAN F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2778.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923565-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT/EXC LES BASE ANT CRAN F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61601", "description":"RESECT/EXC LES BASE ANT CRAN F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3035.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923566-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT/EXC LES INFRATEMPORAL F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61605", "description":"RESECT/EXC LES INFRATEMPORAL F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2929.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923567-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT/EXC LES INFRATEMPORAL F", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61606", "description":"RESECT/EXC LES INFRATEMPORAL F", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3852.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923568-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT/EXC LES PARASELLAR AREA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61607", "description":"RESECT/EXC LES PARASELLAR AREA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3605.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923569-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT/EXC LES PARASELLAR; INT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61608", "description":"RESECT/EXC LES PARASELLAR; INT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4209.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923570-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSECT/LIG CAROTID ART-PETRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61611", "description":"TRANSECT/LIG CAROTID ART-PETRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":606.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923571-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"OBLIT CAROTID ANEURY/AV MALFOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61613", "description":"OBLIT CAROTID ANEURY/AV MALFOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4119.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923572-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT/EXC LES POST CRAN FOSSA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61615", "description":"RESECT/EXC LES POST CRAN FOSSA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3236.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923573-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"RESECT/EXC LES POST CRAN FOSSA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61616", "description":"RESECT/EXC LES POST CRAN FOSSA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4262.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923574-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SECNDRY REPR DURA FOLLOWING SU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61618", "description":"SECNDRY REPR DURA FOLLOWING SU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1675.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923575-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SECNDRY REPR DURA; LOCAL/REGIO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61619", "description":"SECNDRY REPR DURA; LOCAL/REGIO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1946.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923576-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61623", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":769.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923577-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSCATH OCCLUD PERCUT; CENTR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61624", "description":"TRANSCATH OCCLUD PERCUT; CENTR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1506.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923578-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSCATH OCCLUD PERCUT; NON-C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61626", "description":"TRANSCATH OCCLUD PERCUT; NON-C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1224.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923579-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61630", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1741.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923580-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61635", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1906.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923581-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61640", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":821.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923582-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61641", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":288.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923583-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61642", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":577.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923584-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61645", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923585-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61650", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923586-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61651", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923587-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG INTRACRAN AV MALFORM; SUP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61680", "description":"SURG INTRACRAN AV MALFORM; SUP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2913.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923588-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG INTRACRAN AV MALFORM; SUP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61682", "description":"SURG INTRACRAN AV MALFORM; SUP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":5511.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923589-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG INTRACRAN AV MALFORM; INF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61684", "description":"SURG INTRACRAN AV MALFORM; INF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3696.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923590-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG INTRACRAN AV MALFORM; INF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61686", "description":"SURG INTRACRAN AV MALFORM; INF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":5898.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923591-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG INTRACRAN AV MALFORM; DUR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61690", "description":"SURG INTRACRAN AV MALFORM; DUR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2787.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923592-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG INTRACRAN AV MALFORM; DUR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61692", "description":"SURG INTRACRAN AV MALFORM; DUR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4741.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923593-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61697", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":5309.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923594-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61698", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":5638.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923595-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG ANEURY INTRACRAN APPROACH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61700", "description":"SURG ANEURY INTRACRAN APPROACH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4520.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923596-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG ANEURY INTRACRAN; VERTEBR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61702", "description":"SURG ANEURY INTRACRAN; VERTEBR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":4975.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923597-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG INTRACRAN ANEURY-CERV-APP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61703", "description":"SURG INTRACRAN ANEURY-CERV-APP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1684.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923598-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG ANEURY; INTRACRAN & CERV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61705", "description":"SURG ANEURY; INTRACRAN & CERV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3329.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923599-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG ANEURY; INTRACRAN ELECTRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61708", "description":"SURG ANEURY; INTRACRAN ELECTRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2843.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923600-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SURG ANEURY; INTRA-ART EMBOLIZ", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61710", "description":"SURG ANEURY; INTRA-ART EMBOLIZ", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2540.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923601-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANASTOM ART EXTRACRANIAL-INTRA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61711", "description":"ANASTOM ART EXTRACRANIAL-INTRA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3378.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923602-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CREAT LES-STEREOTACTIC METHD;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61720", "description":"CREAT LES-STEREOTACTIC METHD;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1503.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923603-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CREAT LES-STEREOTACTIC; SUBCOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61735", "description":"CREAT LES-STEREOTACTIC; SUBCOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1841.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923604-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61736", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923605-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61737", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923606-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STEREOTACTIC BX/ASPIRAT/EXC IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61750", "description":"STEREOTACTIC BX/ASPIRAT/EXC IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1790.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923607-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STEREOTACTIC BX/ASPIRAT/EXC IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61751", "description":"STEREOTACTIC BX/ASPIRAT/EXC IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1745.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923608-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STEREOTACTIC IMPLNT DEPTH ELEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61760", "description":"STEREOTACTIC IMPLNT DEPTH ELEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1923.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923609-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STEREOTACTIC LOCALIZ W/INSRT C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61770", "description":"STEREOTACTIC LOCALIZ W/INSRT C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1938.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923610-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61781", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923611-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61782", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923612-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61783", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923613-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CREAT LES-STEREOTAC PERCUT; GA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61790", "description":"CREAT LES-STEREOTAC PERCUT; GA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1075.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923614-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CREAT LES-STEREOTAC; TRIGEMINA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61791", "description":"CREAT LES-STEREOTAC; TRIGEMINA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1391.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923615-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61796", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923616-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61797", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923617-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61798", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923618-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61799", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923619-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61800", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923620-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TWIST DRILL-IMPLNT NEUROSTIM E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61850", "description":"TWIST DRILL-IMPLNT NEUROSTIM E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1234.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923621-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY IMPLNT ELECTROD CE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61860", "description":"CRANIECTOMY IMPLNT ELECTROD CE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1982.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923622-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61863", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1932.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923623-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61864", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":539.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923624-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61867", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2852.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923625-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61868", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":799.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923626-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIECTOMY IMPLNT ELECTROD CE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61870", "description":"CRANIECTOMY IMPLNT ELECTROD CE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1518.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923627-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS/REMOV INTRACRAN NEUROSTI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61880", "description":"REVIS/REMOV INTRACRAN NEUROSTI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":686.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923628-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS & SUBQ PLCMT CRANIAL NEUR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61885", "description":"INCS & SUBQ PLCMT CRANIAL NEUR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":782.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923629-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61886", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":988.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923630-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS/REMOV CRANIAL NEUROSTIM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"61888", "description":"REVIS/REMOV CRANIAL NEUROSTIM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":515.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923631-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ELEVATION DEPRESSED SKULL FX;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62000", "description":"ELEVATION DEPRESSED SKULL FX;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1119.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923632-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ELEVAT SKULL FX; COMPOUND/COMM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62005", "description":"ELEVAT SKULL FX; COMPOUND/COMM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1557.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923633-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ELEVAT SKULL FX; W/REPR DURA &", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62010", "description":"ELEVAT SKULL FX; W/REPR DURA &", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1941.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923634-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOT-REPR DURAL/CSF LEAK IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62100", "description":"CRANIOT-REPR DURAL/CSF LEAK IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2076.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923635-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REDUCT CRANIOMEGALIC SKULL; NO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62115", "description":"REDUCT CRANIOMEGALIC SKULL; NO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2083.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923636-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REDUCT CRANIOMEGALIC SKULL; W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62117", "description":"REDUCT CRANIOMEGALIC SKULL; W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2407.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923637-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR ENCEPHALOCELE SKULL VAULT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62120", "description":"REPR ENCEPHALOCELE SKULL VAULT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2364.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923638-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOTOMY REPR ENCEPHALOCELE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62121", "description":"CRANIOTOMY REPR ENCEPHALOCELE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2161.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923639-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOPLASTY SKULL DEFECT; UP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62140", "description":"CRANIOPLASTY SKULL DEFECT; UP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1343.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923640-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOPLASTY SKULL DEFECT; > 5", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62141", "description":"CRANIOPLASTY SKULL DEFECT; > 5", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1472.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923641-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV BONE FLAP/PROSTH PLATE-S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62142", "description":"REMOV BONE FLAP/PROSTH PLATE-S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1115.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923642-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLAC BONE FLAP/PROSTH PLATE-", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62143", "description":"REPLAC BONE FLAP/PROSTH PLATE-", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1314.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923643-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOPLSTY-SKULL DEFECT W/REP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62145", "description":"CRANIOPLSTY-SKULL DEFECT W/REP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1784.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923644-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOPLASTY W/AUTOGFT; UP TO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62146", "description":"CRANIOPLASTY W/AUTOGFT; UP TO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1551.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923645-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CRANIOPLASTY W/AUTOGFT; > 5 CM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62147", "description":"CRANIOPLASTY W/AUTOGFT; > 5 CM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1840.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923646-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62148", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":165.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923647-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62160", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":256.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923648-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62161", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1953.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923649-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62162", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2412.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923650-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62163", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1525.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923651-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62164", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2567.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923652-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62165", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2002.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923653-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENTRICULOCISTERNOSTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62180", "description":"VENTRICULOCISTERNOSTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2026.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923654-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CREAT SHUNT; SUBARACHNOID/SUBD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62190", "description":"CREAT SHUNT; SUBARACHNOID/SUBD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1127.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923655-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CREAT SHUNT; SUBARACHNOID/SUBD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62192", "description":"CREAT SHUNT; SUBARACHNOID/SUBD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1229.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923656-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLAC/IRRIGA SUBARACHNOID/SUB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62194", "description":"REPLAC/IRRIGA SUBARACHNOID/SUB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":482.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923657-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENTRICULOCISTERNOSTOMY THIRD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62200", "description":"VENTRICULOCISTERNOSTOMY THIRD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1759.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923658-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VENTRICULOCISTERNOST-3RD VENT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62201", "description":"VENTRICULOCISTERNOST-3RD VENT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1505.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923659-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CREAT SHUNT; VENTRICULO-ATRIAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62220", "description":"CREAT SHUNT; VENTRICULO-ATRIAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1306.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923660-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CREAT SHUNT; VENTRICULO-PERITO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62223", "description":"CREAT SHUNT; VENTRICULO-PERITO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1321.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923661-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLAC/IRRIGA VENTRICULAR CATH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62225", "description":"REPLAC/IRRIGA VENTRICULAR CATH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":632.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923662-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLAC/REVIS CSF SHUNT/OBSTRUC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62230", "description":"REPLAC/REVIS CSF SHUNT/OBSTRUC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1065.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923663-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62252", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":136.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923664-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62252", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":63.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"26", "additional_information":"PHCS-AOSDOC-73923665-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62252", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":73.00, "expiration_date":"9999-12-31", "billing_class":"professional", "billing_code_modifier":"TC", "additional_information":"PHCS-AOSDOC-73923666-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV COMPLT CSF SHUNT SYST; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62256", "description":"REMOV COMPLT CSF SHUNT SYST; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":734.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923667-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV COMPLT CSF SHUNT; W/REPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62258", "description":"REMOV COMPLT CSF SHUNT; W/REPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1439.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923668-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62263", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":960.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923669-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62264", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":609.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923670-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62267", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923671-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT ASPIRAT SPINAL CORD CYS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62268", "description":"PERCUT ASPIRAT SPINAL CORD CYS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":766.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923672-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX SPINAL CORD PERCUT NEEDLE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62269", "description":"BX SPINAL CORD PERCUT NEEDLE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":853.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923673-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SPINAL PUNCT LUMBAR DX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62270", "description":"SPINAL PUNCT LUMBAR DX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":224.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923674-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SPINAL PUNCT THERAP DRAINAGE S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62272", "description":"SPINAL PUNCT THERAP DRAINAGE S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":263.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923675-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ LUMBAR EPIDURAL BLD/CLOT P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62273", "description":"INJ LUMBAR EPIDURAL BLD/CLOT P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":237.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923676-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ NEUROLYTIC SUBSTANCE; SUBA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62280", "description":"INJ NEUROLYTIC SUBSTANCE; SUBA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":468.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923677-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ NEUROLYTIC SUBSTANCE; EPID", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62281", "description":"INJ NEUROLYTIC SUBSTANCE; EPID", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":414.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923678-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ NEUROLYTIC SUBSTANCE; EPID", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62282", "description":"INJ NEUROLYTIC SUBSTANCE; EPID", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":471.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923679-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC-MYELOGRAPHY &/OR CAT-", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62284", "description":"INJ PROC-MYELOGRAPHY &/OR CAT-", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":328.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923680-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ASPIRAT PROC-PERCUT-NUCLEUS PU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62287", "description":"ASPIRAT PROC-PERCUT-NUCLEUS PU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":754.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923681-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC DISKOGRAPHY EA LEVEL;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62290", "description":"INJ PROC DISKOGRAPHY EA LEVEL;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":486.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923682-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC DISKOGRAPHY EA LEVEL;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62291", "description":"INJ PROC DISKOGRAPHY EA LEVEL;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":442.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923683-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC-CHEMONUCLEOLYSIS-DISK", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62292", "description":"INJ PROC-CHEMONUCLEOLYSIS-DISK", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":707.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923684-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ PROC ART-OCCLUD AV MALFORM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62294", "description":"INJ PROC ART-OCCLUD AV MALFORM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1041.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923685-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62302", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923686-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62303", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923687-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62304", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923688-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62305", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923689-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62320", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923690-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62321", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923691-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62322", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923692-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62323", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923693-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62324", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923694-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62325", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923695-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62326", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923696-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62327", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923697-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62328", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923698-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62329", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923699-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPLNT/REVIS THECAL/EPIDUR CAT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62350", "description":"IMPLNT/REVIS THECAL/EPIDUR CAT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":673.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923700-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPLNT/REVIS INTHECAL/EPIDUR C", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62351", "description":"IMPLNT/REVIS INTHECAL/EPIDUR C", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1089.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923701-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV PREV IMPLNT INTRATHECAL/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62355", "description":"REMOV PREV IMPLNT INTRATHECAL/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":552.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923702-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPLNT/REPLAC DEVIC-EPIDUR DRU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62360", "description":"IMPLNT/REPLAC DEVIC-EPIDUR DRU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":366.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923703-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPLNT/REPLAC DEVIC-EPIDUR INF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62361", "description":"IMPLNT/REPLAC DEVIC-EPIDUR INF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":591.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923704-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPLNT/REPLAC DEVIC-EPIDUR INF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62362", "description":"IMPLNT/REPLAC DEVIC-EPIDUR INF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":737.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923705-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV PREV IMPLNT SUBQ RESERVO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62365", "description":"REMOV PREV IMPLNT SUBQ RESERVO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":574.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923706-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ELEC ANALYS PROGRAMBLE IMPLNT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62367", "description":"ELEC ANALYS PROGRAMBLE IMPLNT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":55.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923707-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ELEC ANALYS PROGRAMBLE IMPLNT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62368", "description":"ELEC ANALYS PROGRAMBLE IMPLNT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":76.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923708-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62369", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923709-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"62370", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923710-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECT W/EXPLOR WO FACETECT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63001", "description":"LAMINECT W/EXPLOR WO FACETECT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1577.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923711-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECT W/EXPLOR WO FACETECT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63003", "description":"LAMINECT W/EXPLOR WO FACETECT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1591.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923712-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECT W/EXPLOR 1-2 VERTEB;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63005", "description":"LAMINECT W/EXPLOR 1-2 VERTEB;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1511.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923713-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY W/EXPLOR 1-2 VERTE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63011", "description":"LAMINECTOMY W/EXPLOR 1-2 VERTE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1418.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923714-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECT W/REMOV ABNL FACETS-S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63012", "description":"LAMINECT W/REMOV ABNL FACETS-S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1543.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923715-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY W/EXPLOR > 2 VERTE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63015", "description":"LAMINECTOMY W/EXPLOR > 2 VERTE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1901.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923716-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECT W/EXPLOR > 2 VERTEBRA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63016", "description":"LAMINECT W/EXPLOR > 2 VERTEBRA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1950.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923717-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY W/EXPLOR > 2 VERTE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63017", "description":"LAMINECTOMY W/EXPLOR > 2 VERTE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1597.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923718-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINOTOMY W/DECOMP NERV ROOT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63020", "description":"LAMINOTOMY W/DECOMP NERV ROOT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1508.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923719-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINOT W/DECOMP NERV ROOT; 1", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63030", "description":"LAMINOT W/DECOMP NERV ROOT; 1", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1255.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923720-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINOT W/DECOMP; EA ADD INTER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63035", "description":"LAMINOT W/DECOMP; EA ADD INTER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":269.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923721-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINOTOMY W/DECOMP NERV ROOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63040", "description":"LAMINOTOMY W/DECOMP NERV ROOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1839.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923722-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINOTOMY W/DECOMP NERV ROOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63042", "description":"LAMINOTOMY W/DECOMP NERV ROOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1726.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923723-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY SNGL VERTEBRAL SEG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63045", "description":"LAMINECTOMY SNGL VERTEBRAL SEG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1641.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923724-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY SNGL VERTEBRAL SEG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63046", "description":"LAMINECTOMY SNGL VERTEBRAL SEG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1569.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923725-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY SNGL VERTEBRAL SEG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63047", "description":"LAMINECTOMY SNGL VERTEBRAL SEG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1438.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923726-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTMY 1 SEGMT-UNI/BIL; EA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63048", "description":"LAMINECTMY 1 SEGMT-UNI/BIL; EA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":288.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923727-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63050", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1958.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923728-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63051", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2220.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923729-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63052", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923730-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63053", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923731-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSPEDICULAR APPROACH SNGL S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63055", "description":"TRANSPEDICULAR APPROACH SNGL S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2114.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923732-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSPEDICULAR APPROACH SNGL S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63056", "description":"TRANSPEDICULAR APPROACH SNGL S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1961.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923733-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSPEDICULAR APPROACH SNGL S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63057", "description":"TRANSPEDICULAR APPROACH SNGL S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":444.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923734-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COSTOVERTEBRAL W/DECOMP THORAC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63064", "description":"COSTOVERTEBRAL W/DECOMP THORAC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2324.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923735-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"COSTOVERTEBRAL W/DECOMP THORAC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63066", "description":"COSTOVERTEBRAL W/DECOMP THORAC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":273.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923736-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DISKECTOMY ANT W/DECOMP; CERV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63075", "description":"DISKECTOMY ANT W/DECOMP; CERV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1816.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923737-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DISKECTOMY ANT W/DECOMP; CERV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63076", "description":"DISKECTOMY ANT W/DECOMP; CERV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":343.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923738-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DISKECTOMY ANT W/DECOMP; THORA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63077", "description":"DISKECTOMY ANT W/DECOMP; THORA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1984.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923739-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DISKECTOMY ANT; THORACIC EA AD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63078", "description":"DISKECTOMY ANT; THORACIC EA AD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":273.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923740-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERTEBRAL CORPECTOMY-ANT W/DEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63081", "description":"VERTEBRAL CORPECTOMY-ANT W/DEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2316.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923741-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERTEBRAL CORPECTOMY-ANT; CERV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63082", "description":"VERTEBRAL CORPECTOMY-ANT; CERV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":370.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923742-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERTEBRAL CORPECT TRANSTHORACI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63085", "description":"VERTEBRAL CORPECT TRANSTHORACI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2486.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923743-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERTEBRAL CORPECT TRANSTHOR; T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63086", "description":"VERTEBRAL CORPECT TRANSTHOR; T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":263.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923744-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERTEBRAL CORPECTOMY LOW THORA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63087", "description":"VERTEBRAL CORPECTOMY LOW THORA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3162.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923745-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERTEBRAL CORPECTOMY LOW THORA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63088", "description":"VERTEBRAL CORPECTOMY LOW THORA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":357.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923746-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERTEBRAL CORPECTOMY TRANSPERI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63090", "description":"VERTEBRAL CORPECTOMY TRANSPERI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2590.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923747-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERTEBRAL CORPECTOMY LUMBAR/SA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63091", "description":"VERTEBRAL CORPECTOMY LUMBAR/SA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":246.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923748-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63101", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2969.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923749-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63102", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2964.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923750-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63103", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":391.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923751-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY W/MYELOTOMY CERV/T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63170", "description":"LAMINECTOMY W/MYELOTOMY CERV/T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1937.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923752-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY W/DRAIN CYST; TO S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63172", "description":"LAMINECTOMY W/DRAIN CYST; TO S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1782.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923753-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY W/DRAIN CYST; TO P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63173", "description":"LAMINECTOMY W/DRAIN CYST; TO P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2189.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923754-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY & SECT DENTATE LIG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63180", "description":"LAMINECTOMY & SECT DENTATE LIG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1808.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923755-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY & SECT DENTATE LIG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63182", "description":"LAMINECTOMY & SECT DENTATE LIG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1870.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923756-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY W/RHIZOTOMY; 1 OR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63185", "description":"LAMINECTOMY W/RHIZOTOMY; 1 OR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1445.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923757-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY W/RHIZOTOMY; MORE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63190", "description":"LAMINECTOMY W/RHIZOTOMY; MORE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1636.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923758-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY W/SECT SPINAL ACCE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63191", "description":"LAMINECTOMY W/SECT SPINAL ACCE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1608.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923759-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY W/SECT 1 SPINOTHAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63194", "description":"LAMINECTOMY W/SECT 1 SPINOTHAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1891.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923760-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY W/SECT 1 SPINOTHAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63195", "description":"LAMINECTOMY W/SECT 1 SPINOTHAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1933.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923761-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY W/SECT BOTH SPINOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63196", "description":"LAMINECTOMY W/SECT BOTH SPINOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2264.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923762-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY W/SECT BOTH SPINOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63197", "description":"LAMINECTOMY W/SECT BOTH SPINOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1981.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923763-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY-2 STAGES WITHIN 14", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63198", "description":"LAMINECTOMY-2 STAGES WITHIN 14", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2256.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923764-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY-2 STAGES WITHIN 14", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63199", "description":"LAMINECTOMY-2 STAGES WITHIN 14", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2346.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923765-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY W/RELEASE TETHERED", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63200", "description":"LAMINECTOMY W/RELEASE TETHERED", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1932.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923766-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY-EXC/OCCLUD AV MALF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63250", "description":"LAMINECTOMY-EXC/OCCLUD AV MALF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3723.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923767-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY-EXC/OCCLUD AV MALF", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63251", "description":"LAMINECTOMY-EXC/OCCLUD AV MALF", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3905.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923768-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY-EXC AV MALFORM COR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63252", "description":"LAMINECTOMY-EXC AV MALFORM COR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3884.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923769-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY-EXC INTRASPINAL LE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63265", "description":"LAMINECTOMY-EXC INTRASPINAL LE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2137.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923770-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY-EXC LES-EXTRADURAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63266", "description":"LAMINECTOMY-EXC LES-EXTRADURAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2203.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923771-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY-EXC LES-EXTRADURAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63267", "description":"LAMINECTOMY-EXC LES-EXTRADURAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1774.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923772-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY-EXC LES-EXTRADURAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63268", "description":"LAMINECTOMY-EXC LES-EXTRADURAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1763.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923773-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY-EXC INTRASPINAL LE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63270", "description":"LAMINECTOMY-EXC INTRASPINAL LE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2638.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923774-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY-EXC LES-INTRADURAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63271", "description":"LAMINECTOMY-EXC LES-INTRADURAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2649.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923775-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY-EXC LES INTRADURAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63272", "description":"LAMINECTOMY-EXC LES INTRADURAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2444.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923776-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY-EXC LES-INTRADURAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63273", "description":"LAMINECTOMY-EXC LES-INTRADURAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2360.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923777-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY BX/EXC NEOPLSM; EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63275", "description":"LAMINECTOMY BX/EXC NEOPLSM; EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2305.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923778-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY BX/EXC NEOPLSM; EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63276", "description":"LAMINECTOMY BX/EXC NEOPLSM; EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2289.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923779-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY BX/EXC NEOPLSM; EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63277", "description":"LAMINECTOMY BX/EXC NEOPLSM; EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2018.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923780-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY BX/EXC NEOPLSM; EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63278", "description":"LAMINECTOMY BX/EXC NEOPLSM; EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1978.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923781-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY-NEOPLSM; INTRADURA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63280", "description":"LAMINECTOMY-NEOPLSM; INTRADURA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2717.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923782-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY-NEOPLSM; INTRADUR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63281", "description":"LAMINECTOMY-NEOPLSM; INTRADUR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2693.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923783-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY-NEOPLSM; INTRADUR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63282", "description":"LAMINECTOMY-NEOPLSM; INTRADUR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2536.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923784-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY-BX/EXC NEOPLSM; IN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63283", "description":"LAMINECTOMY-BX/EXC NEOPLSM; IN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2418.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923785-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY; INTRADURAL INTRAM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63285", "description":"LAMINECTOMY; INTRADURAL INTRAM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3350.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923786-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY; INTRADURAL INTRAM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63286", "description":"LAMINECTOMY; INTRADURAL INTRAM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3345.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923787-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECT; INTRADURAL INTRAMEDU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63287", "description":"LAMINECT; INTRADURAL INTRAMEDU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3517.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923788-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY; COMBO EXTRA-INTRA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63290", "description":"LAMINECTOMY; COMBO EXTRA-INTRA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3538.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923789-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63295", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":422.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923790-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERTEBRAL CORPECTOMY 1 SEGMT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63300", "description":"VERTEBRAL CORPECTOMY 1 SEGMT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2376.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923791-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERTEB CORPECT; EXTRADURAL THO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63301", "description":"VERTEB CORPECT; EXTRADURAL THO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2648.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923792-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERTEB CORPECT; EXTRADURAL THO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63302", "description":"VERTEB CORPECT; EXTRADURAL THO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2628.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923793-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERTEB CORPECT; LUMBAR/SACRAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63303", "description":"VERTEB CORPECT; LUMBAR/SACRAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2785.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923794-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERTEBRAL CORPECTOMY 1 SEGMT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63304", "description":"VERTEBRAL CORPECTOMY 1 SEGMT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2944.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923795-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERTEB CORPECT; INTRADURAL THO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63305", "description":"VERTEB CORPECT; INTRADURAL THO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3047.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923796-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERTEB CORPECT; INTRADURAL THO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63306", "description":"VERTEB CORPECT; INTRADURAL THO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":3089.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923797-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERTEB CORPECT; INTRADUR LUMB/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63307", "description":"VERTEB CORPECT; INTRADUR LUMB/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2841.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923798-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VERTEBRAL CORPECTOMY 1 SEGMT;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63308", "description":"VERTEBRAL CORPECTOMY 1 SEGMT;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":444.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923799-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CREAT LES-SPINAL CORD-STEREOTA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63600", "description":"CREAT LES-SPINAL CORD-STEREOTA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1095.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923800-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"STEREOTACTIC STIM-CORD-PERCUT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63610", "description":"STEREOTACTIC STIM-CORD-PERCUT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2522.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923801-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63620", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923802-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63621", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923803-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT IMPLNT NEUROSTIM ELECTR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63650", "description":"PERCUT IMPLNT NEUROSTIM ELECTR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":581.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923804-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"LAMINECTOMY IMPLNT NEUROSTIM E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63655", "description":"LAMINECTOMY IMPLNT NEUROSTIM E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1083.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923805-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63661", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923806-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63662", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923807-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63663", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923808-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63664", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923809-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS & SUBQ PLCMT SPINAL NEURO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63685", "description":"INCS & SUBQ PLCMT SPINAL NEURO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":661.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923810-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS/REMOV IMPLNT SPINAL NEUR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63688", "description":"REVIS/REMOV IMPLNT SPINAL NEUR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":544.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923811-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR MENINGOCELE; LESS THAN 5", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63700", "description":"REPR MENINGOCELE; LESS THAN 5", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1586.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923812-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR MENINGOCELE; LARGER THAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63702", "description":"REPR MENINGOCELE; LARGER THAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1729.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923813-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR MYELOMENINGOCELE; LESS TH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63704", "description":"REPR MYELOMENINGOCELE; LESS TH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1998.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923814-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR MYELOMENINGOCELE; LARGER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63706", "description":"REPR MYELOMENINGOCELE; LARGER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":2301.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923815-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR DURAL/CSF LEAK NOT REQUIR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63707", "description":"REPR DURAL/CSF LEAK NOT REQUIR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1170.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923816-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR DURAL/CSF LEAK/PSEUDOMENI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63709", "description":"REPR DURAL/CSF LEAK/PSEUDOMENI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1426.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923817-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DURAL GFT SPINAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63710", "description":"DURAL GFT SPINAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1419.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923818-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CREAT SHUNT LUMBAR SUBARACH-PE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63740", "description":"CREAT SHUNT LUMBAR SUBARACH-PE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1187.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923819-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CREAT SHUNT LUMBAR; PERCUT WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63741", "description":"CREAT SHUNT LUMBAR; PERCUT WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":795.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923820-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPLAC IRRIGA/REVIS LUMBOSUBAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63744", "description":"REPLAC IRRIGA/REVIS LUMBOSUBAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":832.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923821-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV LUMBOSUBARACHNOID SHUNT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"63746", "description":"REMOV LUMBOSUBARACHNOID SHUNT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":692.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923822-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANES AGENT; TRIGEMINAL NER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64400", "description":"INJ ANES AGENT; TRIGEMINAL NER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":152.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923823-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANES AGENT; GREATER OCCIPT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64405", "description":"INJ ANES AGENT; GREATER OCCIPT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":144.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923824-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANES AGENT; VAGUS NERV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64408", "description":"INJ ANES AGENT; VAGUS NERV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":161.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923825-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANES AGENT; BRACHIAL PLEXU", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64415", "description":"INJ ANES AGENT; BRACHIAL PLEXU", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":197.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923826-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64416", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":245.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923827-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANES AGENT; AXILRY NERV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64417", "description":"INJ ANES AGENT; AXILRY NERV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":202.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923828-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANES AGENT; SUPRASCAPULAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64418", "description":"INJ ANES AGENT; SUPRASCAPULAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":196.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923829-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANES AGENT; INTERCOSTAL NE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64420", "description":"INJ ANES AGENT; INTERCOSTAL NE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":238.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923830-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANES AGENT; INTERCOSTAL NE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64421", "description":"INJ ANES AGENT; INTERCOSTAL NE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":358.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923831-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANES AGENT; ILIOINGUINAL I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64425", "description":"INJ ANES AGENT; ILIOINGUINAL I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":177.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923832-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANES AGENT; PUDENDAL NERV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64430", "description":"INJ ANES AGENT; PUDENDAL NERV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":215.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923833-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANES AGENT; PARACERVICAL N", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64435", "description":"INJ ANES AGENT; PARACERVICAL N", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":206.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923834-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANES AGENT; SCIATIC NERV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64445", "description":"INJ ANES AGENT; SCIATIC NERV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":199.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923835-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64446", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":235.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923836-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64447", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":98.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923837-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64448", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":214.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923838-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64449", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":211.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923839-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANES AGENT; OTHER PERIPHER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64450", "description":"INJ ANES AGENT; OTHER PERIPHER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":140.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923840-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64451", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923841-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64454", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923842-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64455", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923843-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64461", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923844-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64462", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923845-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64463", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923846-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64479", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":430.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923847-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64480", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":205.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923848-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64483", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":426.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923849-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64484", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":207.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923850-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64486", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923851-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64487", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923852-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64488", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923853-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64489", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923854-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64490", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923855-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64491", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923856-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64492", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923857-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64493", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923858-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64494", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923859-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64495", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923860-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANES AGENT; SPHENOPALATINE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64505", "description":"INJ ANES AGENT; SPHENOPALATINE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":140.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923861-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANES AGENT; STELLATE GANGL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64510", "description":"INJ ANES AGENT; STELLATE GANGL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":214.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923862-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64517", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":241.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923863-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANES AGENT; LUMBAR/THORACI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64520", "description":"INJ ANES AGENT; LUMBAR/THORACI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":286.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923864-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANES AGENT; CELIAC PLEXUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64530", "description":"INJ ANES AGENT; CELIAC PLEXUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":286.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923865-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT IMPLNT NEUROSTIM ELECTR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64553", "description":"PERCUT IMPLNT NEUROSTIM ELECTR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":279.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923866-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PERCUT IMPLNT NEUROSTIM ELECTR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64555", "description":"PERCUT IMPLNT NEUROSTIM ELECTR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":288.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923867-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64561", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1760.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923868-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64566", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923869-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64568", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923870-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64569", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923871-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64570", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923872-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS IMPLNT NEUROSTIM ELECTROD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64575", "description":"INCS IMPLNT NEUROSTIM ELECTROD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":380.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923873-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS IMPLNT NEUROSTIM ELECTROD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64580", "description":"INCS IMPLNT NEUROSTIM ELECTROD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":401.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923874-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64581", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1103.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923875-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64582", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923876-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64583", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923877-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64584", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923878-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS/REMOV PERIPHERAL NEUROST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64585", "description":"REVIS/REMOV PERIPHERAL NEUROST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":591.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923879-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INCS & SUBQ PLCMT PERIPHERAL N", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64590", "description":"INCS & SUBQ PLCMT PERIPHERAL N", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":507.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923880-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS/REMOV PERIPHERAL NEUROST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64595", "description":"REVIS/REMOV PERIPHERAL NEUROST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":563.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923881-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT TRIGEMINAL; SUPRAORBIT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64600", "description":"DESTRCT TRIGEMINAL; SUPRAORBIT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":600.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923882-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT TRIGEMINAL; 2ND & 3RD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64605", "description":"DESTRCT TRIGEMINAL; 2ND & 3RD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":785.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923883-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT TRIGEMINAL; 2ND & 3RD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64610", "description":"DESTRCT TRIGEMINAL; 2ND & 3RD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":928.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923884-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64611", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923885-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT; MUSCL ENERVATED BY FA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64612", "description":"DESTRCT; MUSCL ENERVATED BY FA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":218.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923886-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64615", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923887-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64616", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923888-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64617", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923889-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT BY NEUROLYTIC AGENT; I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64620", "description":"DESTRCT BY NEUROLYTIC AGENT; I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":387.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923890-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64624", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923891-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64625", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923892-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64628", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923893-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64629", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923894-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT BY NEUROLYTIC AGENT; P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64630", "description":"DESTRCT BY NEUROLYTIC AGENT; P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":317.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923895-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64632", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923896-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64633", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923897-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64634", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923898-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64635", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923899-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64636", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923900-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT; OTHER PERIPHERAL NERV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64640", "description":"DESTRCT; OTHER PERIPHERAL NERV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":338.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923901-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64642", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923902-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64643", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923903-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64644", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923904-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64645", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923905-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64646", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923906-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64647", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923907-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64650", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":82.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923908-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64653", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":94.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923909-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT CELIAC PLEXUS W/WO RAD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64680", "description":"DESTRCT CELIAC PLEXUS W/WO RAD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":446.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923910-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64681", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":597.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923911-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEUROPLASTY; DIGITAL 1/BOTH SA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64702", "description":"NEUROPLASTY; DIGITAL 1/BOTH SA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":589.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923912-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEUROPLASTY; NERV HAND/FT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64704", "description":"NEUROPLASTY; NERV HAND/FT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":444.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923913-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEUROPLSTY MAJ PERIPHRL NERV A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64708", "description":"NEUROPLSTY MAJ PERIPHRL NERV A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":608.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923914-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEUROPLASTY MAJ PERIPHERAL NER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64712", "description":"NEUROPLASTY MAJ PERIPHERAL NER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":707.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923915-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEUROPLASTY MAJ PERIPHERAL NER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64713", "description":"NEUROPLASTY MAJ PERIPHERAL NER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":981.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923916-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEUROPLASTY MAJ PERIPHERAL NER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64714", "description":"NEUROPLASTY MAJ PERIPHERAL NER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":821.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923917-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEUROPLASTY &/OR TRANSPOSITION", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64716", "description":"NEUROPLASTY &/OR TRANSPOSITION", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":695.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923918-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEUROPLASTY &/OR TRANSPOSIT; U", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64718", "description":"NEUROPLASTY &/OR TRANSPOSIT; U", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":742.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923919-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEUROPLASTY &/OR TRANSPOSIT; U", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64719", "description":"NEUROPLASTY &/OR TRANSPOSIT; U", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":521.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923920-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NEUROPLASTY &/OR TRANSPO; MEDI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64721", "description":"NEUROPLASTY &/OR TRANSPO; MEDI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":556.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923921-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECOMP; UNSPECIFIED NERV (SPEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64722", "description":"DECOMP; UNSPECIFIED NERV (SPEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":430.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923922-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DECOMP; PLANTAR DIGITAL NERV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64726", "description":"DECOMP; PLANTAR DIGITAL NERV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":392.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923923-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INT NEUROLYSIS REQUIRING USE O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64727", "description":"INT NEUROLYSIS REQUIRING USE O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":252.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923924-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSECTION/AVULSION SUPRAORBI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64732", "description":"TRANSECTION/AVULSION SUPRAORBI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":483.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923925-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSECTION/AVULSION INFRAORBI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64734", "description":"TRANSECTION/AVULSION INFRAORBI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":549.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923926-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSECTION/AVULSION MENTAL NE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64736", "description":"TRANSECTION/AVULSION MENTAL NE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":500.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923927-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSECT/AVULSION INFERIOR ALV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64738", "description":"TRANSECT/AVULSION INFERIOR ALV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":620.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923928-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSECTION/AVULSION LINGUAL N", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64740", "description":"TRANSECTION/AVULSION LINGUAL N", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":622.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923929-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSECT/AVULSION FACIAL NERV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64742", "description":"TRANSECT/AVULSION FACIAL NERV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":624.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923930-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSECTION/AVULSION GREATER O", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64744", "description":"TRANSECTION/AVULSION GREATER O", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":551.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923931-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSECTION/AVULSION PHRENIC N", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64746", "description":"TRANSECTION/AVULSION PHRENIC N", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":596.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923932-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSECTION/AVULSION VAGI LTD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64755", "description":"TRANSECTION/AVULSION VAGI LTD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1151.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923933-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSECTION/AVULSION VAGUS NER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64760", "description":"TRANSECTION/AVULSION VAGUS NER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":618.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923934-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSECT/AVULSION OBTURATOR NE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64763", "description":"TRANSECT/AVULSION OBTURATOR NE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":673.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923935-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSECT/AVULSION OBTURATOR NE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64766", "description":"TRANSECT/AVULSION OBTURATOR NE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":798.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923936-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSECT/AVULSION OTHER CRANIA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64771", "description":"TRANSECT/AVULSION OTHER CRANIA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":770.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923937-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRANSECT/AVULSION OTHER SPINAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64772", "description":"TRANSECT/AVULSION OTHER SPINAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":730.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923938-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC NEUROMA; CUT NERV SURGICAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64774", "description":"EXC NEUROMA; CUT NERV SURGICAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":540.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923939-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC NEUROMA; DIGITAL NERV 1/BO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64776", "description":"EXC NEUROMA; DIGITAL NERV 1/BO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":518.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923940-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC NEUROMA; DIGITAL NERV EA A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64778", "description":"EXC NEUROMA; DIGITAL NERV EA A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":252.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923941-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC NEUROMA; HAND/FT EX DIGITA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64782", "description":"EXC NEUROMA; HAND/FT EX DIGITA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":603.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923942-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC NEUROMA; HAND/FT EA ADD NE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64783", "description":"EXC NEUROMA; HAND/FT EA ADD NE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":300.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923943-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC NEUROMA; MAJOR PERIPHERAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64784", "description":"EXC NEUROMA; MAJOR PERIPHERAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":954.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923944-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC NEUROMA; SCIATIC NERV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64786", "description":"EXC NEUROMA; SCIATIC NERV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1436.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923945-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IMPLNT NERV END INTO BONE/MUSC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64787", "description":"IMPLNT NERV END INTO BONE/MUSC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":347.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923946-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC NEUROFIBROMA/NEUROLEMMOMA;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64788", "description":"EXC NEUROFIBROMA/NEUROLEMMOMA;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":502.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923947-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC NEUROFIBROMA/NEUROLEMMOMA;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64790", "description":"EXC NEUROFIBROMA/NEUROLEMMOMA;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1089.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923948-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC NEUROFIBROMA/NEUROLEMMOMA;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64792", "description":"EXC NEUROFIBROMA/NEUROLEMMOMA;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1378.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923949-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX NERV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64795", "description":"BX NERV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":258.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923950-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SYMPATHECTOMY CERV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64802", "description":"SYMPATHECTOMY CERV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":817.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923951-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SYMPATHECTOMY CERVICOTHORACIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64804", "description":"SYMPATHECTOMY CERVICOTHORACIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1260.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923952-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SYMPATHECTOMY THORACOLUMBAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64809", "description":"SYMPATHECTOMY THORACOLUMBAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1166.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923953-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SYMPATHECTOMY LUMBAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64818", "description":"SYMPATHECTOMY LUMBAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":896.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923954-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SYMPATHECTOMY DIG ARTS W/MAGNI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64820", "description":"SYMPATHECTOMY DIG ARTS W/MAGNI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":995.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923955-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64821", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":905.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923956-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64822", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":901.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923957-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64823", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1021.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923958-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE DIGITAL NERV HAND/FT; 1", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64831", "description":"SUTURE DIGITAL NERV HAND/FT; 1", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":960.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923959-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE DIGITAL NERV HAND/FT; E", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64832", "description":"SUTURE DIGITAL NERV HAND/FT; E", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":469.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923960-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE 1 NERV HAND/FT; COMMON", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64834", "description":"SUTURE 1 NERV HAND/FT; COMMON", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":986.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923961-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE 1 NERV HAND/FT; MEDIAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64835", "description":"SUTURE 1 NERV HAND/FT; MEDIAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1068.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923962-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE 1 NERV HAND/FT; ULNAR M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64836", "description":"SUTURE 1 NERV HAND/FT; ULNAR M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1069.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923963-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE EA ADD NERV HAND/FT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64837", "description":"SUTURE EA ADD NERV HAND/FT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":519.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923964-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE POST TIBIAL NERV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64840", "description":"SUTURE POST TIBIAL NERV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1205.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923965-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE MAJ NERV ARM/LEG EX-SCI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64856", "description":"SUTURE MAJ NERV ARM/LEG EX-SCI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1341.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923966-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE MAJ NERV ARM/LEG; WO TR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64857", "description":"SUTURE MAJ NERV ARM/LEG; WO TR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1403.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923967-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE SCIATIC NERV", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64858", "description":"SUTURE SCIATIC NERV", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1601.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923968-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE EA ADD MAJOR PERIPHERAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64859", "description":"SUTURE EA ADD MAJOR PERIPHERAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":353.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923969-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE BRACHIAL PLEXUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64861", "description":"SUTURE BRACHIAL PLEXUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1825.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923970-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE LUMBAR PLEXUS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64862", "description":"SUTURE LUMBAR PLEXUS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1852.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923971-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE FACIAL NERV; EXTRACRANI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64864", "description":"SUTURE FACIAL NERV; EXTRACRANI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1185.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923972-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE FACIAL NERV; INFRATEMPO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64865", "description":"SUTURE FACIAL NERV; INFRATEMPO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1575.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923973-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANASTOM; FACIAL-SPINAL ACCES", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64866", "description":"ANASTOM; FACIAL-SPINAL ACCES", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1612.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923974-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ANASTOM; FACIAL-HYPOGLOSSAL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64868", "description":"ANASTOM; FACIAL-HYPOGLOSSAL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1406.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923975-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE NERV; REQUIRING SECNDRY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64872", "description":"SUTURE NERV; REQUIRING SECNDRY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":165.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923976-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE NERV; REQ EXTEN MOBILIZ", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64874", "description":"SUTURE NERV; REQ EXTEN MOBILIZ", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":246.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923977-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE NERV; REQUIRING SHORTEN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64876", "description":"SUTURE NERV; REQUIRING SHORTEN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":280.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923978-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NERV GFT HEAD/NECK; UP TO 4 CM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64885", "description":"NERV GFT HEAD/NECK; UP TO 4 CM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1535.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923979-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NERV GFT HEAD/NECK; MORE THAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64886", "description":"NERV GFT HEAD/NECK; MORE THAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1812.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923980-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NERV GFT 1 STRAND HAND/FT; UP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64890", "description":"NERV GFT 1 STRAND HAND/FT; UP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1444.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923981-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NERV GFT 1 STRAND HAND/FT; > 4", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64891", "description":"NERV GFT 1 STRAND HAND/FT; > 4", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1429.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923982-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NERV GFT 1 STRAND ARM/LEG; UP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64892", "description":"NERV GFT 1 STRAND ARM/LEG; UP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1397.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923983-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NERV GFT 1 STRAND ARM/LEG; > 4", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64893", "description":"NERV GFT 1 STRAND ARM/LEG; > 4", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1502.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923984-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NERV GFT MX STRAND HAND/FT; UP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64895", "description":"NERV GFT MX STRAND HAND/FT; UP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1716.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923985-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NERV GFT MX STRAND HAND/FT; >", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64896", "description":"NERV GFT MX STRAND HAND/FT; >", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1873.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923986-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NERV GFT MX STRAND ARM/LEG; UP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64897", "description":"NERV GFT MX STRAND ARM/LEG; UP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1677.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923987-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NERV GFT MX STRAND ARM/LEG; >", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64898", "description":"NERV GFT MX STRAND ARM/LEG; >", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1823.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923988-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NERV GFT EA ADD NERV; SNGL STR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64901", "description":"NERV GFT EA ADD NERV; SNGL STR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":824.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923989-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NERV GFT EA ADD NERV; MX STRAN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64902", "description":"NERV GFT EA ADD NERV; MX STRAN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":962.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923990-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NERV PEDICLE TRANSF; FIRST STA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64905", "description":"NERV PEDICLE TRANSF; FIRST STA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1278.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923991-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NERV PEDICLE TRANSF; SECOND ST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64907", "description":"NERV PEDICLE TRANSF; SECOND ST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1669.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923992-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64910", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":901.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923993-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64911", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1100.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923994-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NRV RPR W/NRV ALGRFT 1ST", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64912", "description":"NRV RPR W/NRV ALGRFT 1ST", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923995-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"NRV RPR W/NRV ALGRFT EA ADD", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"64913", "description":"NRV RPR W/NRV ALGRFT EA ADD", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923996-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EVISCERATION OCULAR CONTENTS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65091", "description":"EVISCERATION OCULAR CONTENTS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":719.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923997-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EVISCERATION OCULAR CONTENTS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65093", "description":"EVISCERATION OCULAR CONTENTS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":721.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923998-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENUCLEATION EYE; WO IMPLNT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65101", "description":"ENUCLEATION EYE; WO IMPLNT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":825.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73923999-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENUCLEAT EYE; W/IMPLNT MUSCL N", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65103", "description":"ENUCLEAT EYE; W/IMPLNT MUSCL N", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":860.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924000-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ENUCLEATION EYE; W/IMPLNT MUSC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65105", "description":"ENUCLEATION EYE; W/IMPLNT MUSC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":946.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924001-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXENTERATION ORBIT REMOV ORBIT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65110", "description":"EXENTERATION ORBIT REMOV ORBIT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1371.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924002-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXENTERATION ORBITAL CONTENTS;", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65112", "description":"EXENTERATION ORBITAL CONTENTS;", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1623.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924003-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXENTERAT ORBITAL CONTENTS; W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65114", "description":"EXENTERAT ORBITAL CONTENTS; W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1680.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924004-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MODIF OCULAR IMPLNT W/PLC/REPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65125", "description":"MODIF OCULAR IMPLNT W/PLC/REPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":541.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924005-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT OCULAR IMPLNT SECNDRY; A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65130", "description":"INSRT OCULAR IMPLNT SECNDRY; A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":815.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924006-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT OCULAR IMPLNT SECNDRY; A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65135", "description":"INSRT OCULAR IMPLNT SECNDRY; A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":829.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924007-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT OCULAR IMPLNT; ENUCLEAT-", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65140", "description":"INSRT OCULAR IMPLNT; ENUCLEAT-", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":898.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924008-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REINSRT OCULAR IMPLNT; W/WO CO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65150", "description":"REINSRT OCULAR IMPLNT; W/WO CO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":660.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924009-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REINSRT OCULAR IMPLNT; W/FOREI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65155", "description":"REINSRT OCULAR IMPLNT; W/FOREI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":957.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924010-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV OCULAR IMPLNT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65175", "description":"REMOV OCULAR IMPLNT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":733.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924011-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB EXT EYE; CONJUNC SUPE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65205", "description":"REMOV FB EXT EYE; CONJUNC SUPE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":64.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924012-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB EXT EYE; CONJUNC EMBE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65210", "description":"REMOV FB EXT EYE; CONJUNC EMBE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":78.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924013-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB EXT EYE; CORNEAL WO S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65220", "description":"REMOV FB EXT EYE; CORNEAL WO S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":66.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924014-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB EXT EYE; CORNEAL W/SL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65222", "description":"REMOV FB EXT EYE; CORNEAL W/SL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":87.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924015-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB IO; FROM ANT CHAMBER/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65235", "description":"REMOV FB IO; FROM ANT CHAMBER/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":758.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924016-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB IO; POST SEGMT-MAGNET", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65260", "description":"REMOV FB IO; POST SEGMT-MAGNET", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1050.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924017-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV FB IO; POST SEGMT NONMAG", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65265", "description":"REMOV FB IO; POST SEGMT NONMAG", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1179.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924018-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LACERAT; CONJUNC W/WO LAC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65270", "description":"REPR LACERAT; CONJUNC W/WO LAC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":317.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924019-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LACERAT; CONJUNC BY MOBIL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65272", "description":"REPR LACERAT; CONJUNC BY MOBIL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":564.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924020-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LACERAT; CONJUNC BY MOBIL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65273", "description":"REPR LACERAT; CONJUNC BY MOBIL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":415.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924021-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LACERAT; CORNEA NONPERFOR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65275", "description":"REPR LACERAT; CORNEA NONPERFOR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":610.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924022-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LACERAT; CORNEA PERFORATI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65280", "description":"REPR LACERAT; CORNEA PERFORATI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":726.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924023-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LACERAT; CORNEA W/REPOSIT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65285", "description":"REPR LACERAT; CORNEA W/REPOSIT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1132.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924024-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR LACERAT; APPLIC TISS GLUE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65286", "description":"REPR LACERAT; APPLIC TISS GLUE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":804.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924025-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR WOUND EXTRAOCULAR MUSCL/T", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65290", "description":"REPR WOUND EXTRAOCULAR MUSCL/T", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":535.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924026-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES CORNEA EX PTERYGIUM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65400", "description":"EXC LES CORNEA EX PTERYGIUM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":742.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924027-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"BX CORNEA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65410", "description":"BX CORNEA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":165.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924028-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/TRANSPOSITION PTERYGIUM; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65420", "description":"EXC/TRANSPOSITION PTERYGIUM; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":596.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924029-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC/TRANSPOSITION PTERYGIUM; W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65426", "description":"EXC/TRANSPOSITION PTERYGIUM; W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":740.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924030-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SCRAPING CORNEA DX SMEAR &/OR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65430", "description":"SCRAPING CORNEA DX SMEAR &/OR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":130.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924031-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV CORNEAL EPITHELIUM; W/WO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65435", "description":"REMOV CORNEAL EPITHELIUM; W/WO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":91.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924032-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV CORNEAL EPITHELIUM; W/AP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65436", "description":"REMOV CORNEAL EPITHELIUM; W/AP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":422.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924033-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT LES CORNEA-CRYOTHERAPY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65450", "description":"DESTRCT LES CORNEA-CRYOTHERAPY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":354.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924034-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"MX PUNCTURES ANT CORNEA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65600", "description":"MX PUNCTURES ANT CORNEA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":431.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924035-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"KERATOPLASTY; LAMELLAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65710", "description":"KERATOPLASTY; LAMELLAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1209.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924036-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"KERATOPLASTY; PENETRATING (EX", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65730", "description":"KERATOPLASTY; PENETRATING (EX", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1341.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924037-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"KERATOPLASTY; PENETRATING (APH", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65750", "description":"KERATOPLASTY; PENETRATING (APH", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1361.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924038-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"KERATOPLASTY; PENETRATING (PSE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65755", "description":"KERATOPLASTY; PENETRATING (PSE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1352.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924039-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65756", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924040-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"KERATOPROSTHESIS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65770", "description":"KERATOPROSTHESIS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1553.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924041-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORNEAL RELAXING INCS CORRECT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65772", "description":"CORNEAL RELAXING INCS CORRECT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":496.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924042-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CORNEAL WEDGE RESECT CORRECT I", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65775", "description":"CORNEAL WEDGE RESECT CORRECT I", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":604.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924043-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65778", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924044-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65779", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924045-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65780", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":980.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924046-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65781", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1476.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924047-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65782", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1274.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924048-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65785", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924049-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PARACENTESIS ANT CHAMBER (SEP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65800", "description":"PARACENTESIS ANT CHAMBER (SEP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":172.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924050-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PARACENTESIS (SEPART PROC); W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65810", "description":"PARACENTESIS (SEPART PROC); W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":506.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924051-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"PARACENTESIS (SEPART PROC); W/", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65815", "description":"PARACENTESIS (SEPART PROC); W/", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":727.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924052-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"GONIOTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65820", "description":"GONIOTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":832.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924053-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRABECULOTOMY AB EXT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65850", "description":"TRABECULOTOMY AB EXT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":934.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924054-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"TRABECULOPLASTY-LASER SURG 1/M", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65855", "description":"TRABECULOPLASTY-LASER SURG 1/M", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":382.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924055-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SEVERING ADHESIONS ANT SEGMT L", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65860", "description":"SEVERING ADHESIONS ANT SEGMT L", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":353.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924056-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SEVERING ADHESIONS (SEP PRO);", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65865", "description":"SEVERING ADHESIONS (SEP PRO);", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":530.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924057-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SEVERING ADHESIONS (SEPART PRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65870", "description":"SEVERING ADHESIONS (SEPART PRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":648.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924058-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SEVERING ADHESIONS (SEPART PRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65875", "description":"SEVERING ADHESIONS (SEPART PRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":687.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924059-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SEVERING ADHESIONS (SEPART PRO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65880", "description":"SEVERING ADHESIONS (SEPART PRO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":724.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924060-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV EPITHELIAL DOWNGROWTH AN", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65900", "description":"REMOV EPITHELIAL DOWNGROWTH AN", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1067.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924061-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV IMPLNT MAT ANT SEGMT EYE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65920", "description":"REMOV IMPLNT MAT ANT SEGMT EYE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":857.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924062-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV BLD CLOT ANT SEGMT EYE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"65930", "description":"REMOV BLD CLOT ANT SEGMT EYE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":711.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924063-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANT CHAMBER (SEPART PROC);", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66020", "description":"INJ ANT CHAMBER (SEPART PROC);", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":216.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924064-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ ANT CHAMBER (SEPART PROC);", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66030", "description":"INJ ANT CHAMBER (SEPART PROC);", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":193.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924065-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXC LES SCLERA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66130", "description":"EXC LES SCLERA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":800.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924066-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FISTULIZAT SCLERA-GLAU; TREPHI", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66150", "description":"FISTULIZAT SCLERA-GLAU; TREPHI", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":943.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924067-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FISTULIZAT SCLERA; THERMOCAUTE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66155", "description":"FISTULIZAT SCLERA; THERMOCAUTE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":940.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924068-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FISTULIZAT SCLERA; SCLERECTOMY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66160", "description":"FISTULIZAT SCLERA; SCLERECTOMY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1067.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924069-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FISTULIZAT SCLER;TRABECULECT A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66170", "description":"FISTULIZAT SCLER;TRABECULECT A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1292.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924070-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"FISTULIZAT SCLERA; TRABECULECT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66172", "description":"FISTULIZAT SCLERA; TRABECULECT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1619.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924071-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66174", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924072-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66175", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924073-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66179", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924074-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"AQUEOUS SHUNT-EXTRAOCULAR RESE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66180", "description":"AQUEOUS SHUNT-EXTRAOCULAR RESE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1280.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924075-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66183", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924076-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66184", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924077-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS AQUEOUS SHUNT-EXTRAOCULA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66185", "description":"REVIS AQUEOUS SHUNT-EXTRAOCULA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":809.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924078-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR SCLERAL STAPHYLOMA; W/GFT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66225", "description":"REPR SCLERAL STAPHYLOMA; W/GFT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1016.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924079-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REVIS/REPR OPERATIVE WOUND ANT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66250", "description":"REVIS/REPR OPERATIVE WOUND ANT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":854.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924080-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IRIDOTOMY-STAB INCS (SEP PRO);", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66500", "description":"IRIDOTOMY-STAB INCS (SEP PRO);", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":394.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924081-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IRIDOTOMY-STAB INCS (SEP PRO);", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66505", "description":"IRIDOTOMY-STAB INCS (SEP PRO);", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":431.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924082-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IRIDECTOMY W/CORNEOSCLERAL SEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66600", "description":"IRIDECTOMY W/CORNEOSCLERAL SEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":886.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924083-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IRIDECTOMY W/CORNEOSCLERAL SEC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66605", "description":"IRIDECTOMY W/CORNEOSCLERAL SEC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1163.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924084-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IRIDECTOMY; PERIPHERAL GLAU (S", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66625", "description":"IRIDECTOMY; PERIPHERAL GLAU (S", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":473.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924085-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IRIDECTOMY; SECTOR GLAU (SEPAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66630", "description":"IRIDECTOMY; SECTOR GLAU (SEPAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":617.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924086-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IRIDECTOMY; 'OPTICAL' (SEPART", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66635", "description":"IRIDECTOMY; 'OPTICAL' (SEPART", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":622.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924087-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR IRIS CILIARY BODY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66680", "description":"REPR IRIS CILIARY BODY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":557.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924088-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SUTURE IRIS CILIARY BODY (SEPA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66682", "description":"SUTURE IRIS CILIARY BODY (SEPA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":676.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924089-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CILIARY BODY DESTRCT; DIATHERM", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66700", "description":"CILIARY BODY DESTRCT; DIATHERM", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":493.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924090-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CILIARY BODY DESTRCT; CYCLOPHO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66710", "description":"CILIARY BODY DESTRCT; CYCLOPHO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":487.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924091-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66711", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":687.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924092-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CILIARY BODY DESTRCT; CRYOTHER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66720", "description":"CILIARY BODY DESTRCT; CRYOTHER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":513.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924093-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"CILIARY BODY DESTRCT; CYCLODIA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66740", "description":"CILIARY BODY DESTRCT; CYCLODIA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":483.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924094-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IRIDOTOMY/IRIDECTOMY BY LASER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66761", "description":"IRIDOTOMY/IRIDECTOMY BY LASER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":499.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924095-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"IRIDOPLASTY BY PHOTOCOAGULATIO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66762", "description":"IRIDOPLASTY BY PHOTOCOAGULATIO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":520.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924096-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DESTRCT CYST/LES IRIS/CILIARY", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66770", "description":"DESTRCT CYST/LES IRIS/CILIARY", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":577.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924097-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DISCISSION SECNDRY MEMBRN CATA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66820", "description":"DISCISSION SECNDRY MEMBRN CATA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":449.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924098-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DISCISSION SECNDRY MEMBRN CATA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66821", "description":"DISCISSION SECNDRY MEMBRN CATA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":355.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924099-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPOSIT IO LENS PROSTH REQ INC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66825", "description":"REPOSIT IO LENS PROSTH REQ INC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":845.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924100-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV 2ND MEMBRN CATARACT W/CO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66830", "description":"REMOV 2ND MEMBRN CATARACT W/CO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":776.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924101-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV LENS MAT; ASPIRAT TECH 1", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66840", "description":"REMOV LENS MAT; ASPIRAT TECH 1", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":759.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924102-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV LENS MAT; PHACOFRAGMENTA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66850", "description":"REMOV LENS MAT; PHACOFRAGMENTA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":862.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924103-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV LENS MAT; PARS PLANA APP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66852", "description":"REMOV LENS MAT; PARS PLANA APP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":923.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924104-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV LENS MAT; INTRACAPSULAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66920", "description":"REMOV LENS MAT; INTRACAPSULAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":825.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924105-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV LENS MAT; INTRACAPSULAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66930", "description":"REMOV LENS MAT; INTRACAPSULAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":935.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924106-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV LENS MAT; EXTRACAPSULAR", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66940", "description":"REMOV LENS MAT; EXTRACAPSULAR", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":851.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924107-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66982", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1181.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924108-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXTRACAPSULAR CATARACT REMOV W", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66984", "description":"EXTRACAPSULAR CATARACT REMOV W", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":842.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924109-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INSRT IOL PROSTH (SECNDRY IMPL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66985", "description":"INSRT IOL PROSTH (SECNDRY IMPL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":829.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924110-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"EXCHG IO LENS", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66986", "description":"EXCHG IO LENS", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1021.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924111-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66989", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924112-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66990", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":103.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924113-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"66991", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"percentage", "negotiated_rate":80.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924114-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV VITREOUS ANT APPROACH; P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67005", "description":"REMOV VITREOUS ANT APPROACH; P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":513.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924115-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REMOV VITREOUS ANT; SUBTL REMO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67010", "description":"REMOV VITREOUS ANT; SUBTL REMO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":594.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924116-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"ASPIRAT/RELEASE VITREOUS/SUBRE", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67015", "description":"ASPIRAT/RELEASE VITREOUS/SUBRE", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":641.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924117-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INJ VITREOUS SUBSTITUTE-W/WO A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67025", "description":"INJ VITREOUS SUBSTITUTE-W/WO A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":805.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924118-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67027", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":933.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924119-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"INTRAVITREAL INJ-PHARMACOLOGIC", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67028", "description":"INTRAVITREAL INJ-PHARMACOLOGIC", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":243.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924120-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"DISCISSION VITREOUS STRANDS PA", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67030", "description":"DISCISSION VITREOUS STRANDS PA", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":569.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924121-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"SEVERING VITREOUS STRANDS/MEMB", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67031", "description":"SEVERING VITREOUS STRANDS/MEMB", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":425.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924122-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VITRECTOMY MECH PARS PLANA APP", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67036", "description":"VITRECTOMY MECH PARS PLANA APP", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1058.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924123-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VITRECTOMY MECH; W/FOCAL ENDOL", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67039", "description":"VITRECTOMY MECH; W/FOCAL ENDOL", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1358.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924124-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"VITRECTOMY MECH; W/ENDOLASER P", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67040", "description":"VITRECTOMY MECH; W/ENDOLASER P", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1565.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924125-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67041", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1431.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924126-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67042", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1638.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924127-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67043", "description":"", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1719.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924128-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR RETINAL DETACHMENT; CRYOT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67101", "description":"REPR RETINAL DETACHMENT; CRYOT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":852.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924129-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR RETINAL DETACHMENT; PHOTO", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67105", "description":"REPR RETINAL DETACHMENT; PHOTO", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":788.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924130-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR RETINAL DETACHMENT; SCLER", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67107", "description":"REPR RETINAL DETACHMENT; SCLER", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1326.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924131-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR RETINAL DETACHMENT; W/VIT", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67108", "description":"REPR RETINAL DETACHMENT; W/VIT", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":1763.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924132-2024020918053557" } ] } ] }, { "negotiation_arrangement":"ffs", "name":"REPR RETINAL DETACHMENT; INJ A", "billing_code_type":"CPT", "billing_code_type_version":"2023", "billing_code":"67110", "description":"REPR RETINAL DETACHMENT; INJ A", "negotiated_rates":[ { "provider_groups":[ { "npi":[ 1023073889, 1043275803, 1114965159, 1154372712, 1184681678, 1194904474, 1205814068, 1255398749, 1326215518, 1437248622, 1497701189, 1528301520, 1659507721, 1912337486, 1952477317, 1982644258, 1982880191 ], "tin":{ "type":"ein", "value":"54-1869072" } } ], "negotiated_prices":[ { "negotiated_type":"fee schedule", "negotiated_rate":959.00, "expiration_date":"9999-12-31", "billing_class":"professional", "additional_information":"PHCS-AOSDOC-73924133-2024